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Home
IU Locations
About Us
Programs
Rec Cheer
Tumbling
Cheerleading
School Teams
Ultimate Fitness
NinjaZone
Events
Birthday Parties
Camps & Clinics
Open Gym
Forms
All Star Registration
Athlete Planned Absence Form
Full Season All-Star Parent Handbook
Half Season All Star Parent Handbook
Tumble Packet
Misc Program Registration
Credit Card Authorization
NinjaZone Packet
USASF Code of Conduct
Parent Portal
NEW MEMBER SPECIAL
Indiana Ultimate
2023-2024
HALF SEASON EVALUATION INFORMATION
EVALUATION INFO HERE
>>>>>>>
WHERE ATHLETES & FUN
CONNECT
NEW MEMBER SPECIAL
AT INDIANA ULTIMATE,
THERE'S SOMETHING FOR
EVERY
ONE.
CHEERLEADING
TUMBLING
OPEN GYM
We Make
BIRTHDAYS A BREEZE!
LEARN MORE
for every
ATHLETE
ULTIMATE
fun
NEW MEMBER SPECIAL
Full Season All Star Registration
Step
1
of
8
- Parent & Athlete Information
12%
Parent/Guardian Name
*
First
Last
Relation To Athlete
*
Phone
*
Email
*
Employer Name
*
Last 4 of SSN
*
Parent/Guardian #2 Name
*
First
Last
Relation To Athlete
*
Phone
*
Email
*
MEDICAL
Medical Information:
List any allergies the athlete has:
List any medications the athlete takes:
Parent/Guardian Signature
*
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HOLD HARMLESS AND INDEMNITY AGREEMENT AND RELEASE
1 As a parent or legal guardian of the participating person, I give my consent for him/her to participate in the Indiana Ultimate, Inc. All-Star and Tumbling program. I understand that training in any sport can be dangerous. With that being said, I also understand the risks that come along with the named sport. I also understand that participating in gymnastics, stunting, cheerleading, dance, strength training, sports training and related activities may result in unavoidable injuries due to the sport, heights, and motions involved. Injuries such as muscle strains, pulls, tears, bruises, dislocations, and broken bones are just a few small injuries that might occur more than once in the course of a season. Severe injuries, such as permanent paralysis or even death could occur as well. I am fully aware of the risks and possibility of injury involved.
1. As a parent or legal guardian, I agree to provide health insurance for the participant and pay any medical expenses incurred because of training, performing, or participating in activities of the Indiana Ultimate, Inc. All-Star program.
2. In consideration for allowing the named person to participate in the activities of Indiana Ultimate, Inc. All-Star program. I waive any or all rights or causes of action against Indiana Ultimate, Inc., its employees, shareholders, directors, owners, officers, coaching staff, and Indiana Ultimate All-Star cheerleaders/dancers for any injuries or death suffered to my child. I agree to hold Indiana Ultimate, Inc., its employees, shareholders, directors, owners, officers, coaching staff, and Indiana Ultimate All-Star cheerleaders/tumblers harmless against any such claim growing out of or resulting from any injury or death to the below named person in connection with the above named activity, and to indemnity reimburse and make good any loss, damage or cost that Indiana Ultimate, Inc. may have to pay if any litigation or claim arises from injuries or death including cost of court and attorney’s fees.
Parent/Guardian Name:
*
First
Last
Parent/Guardian Signature
*
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FINANCIAL AGREEMENT
1. As a parent or legal guardian, I agree to pay all dues and monthly bills by the scheduled due date. I understand that if my bill is past due, then I will be charged a $15 late fee. If my credit card fails, I also understand that there will be a $25.00 fee, plus any late fees incurred, after the credit card failure. If in the event your account becomes 45 days delinquent, you may be turned over to collections and you will pay all related Attorney fees.
2. Remember this is a binding contract between Indiana Ultimate, Inc. and owners and the individual athlete/parent or guardian. The parent/guardian agrees to pay all expenses related to the Indiana Ultimate, Inc. for all services rendered for the 2021-2022 season. The parent also agrees to pay all account balances in full at the end of the season. The parent also agrees to pay, if any, all collection fees/attorney’s fees and any interest fees that occurred during collecting unpaid balances.
3. The undersigned understands and agrees that if the undersigned fails to pay any amounts due to Indiana Ultimate, Inc. including but not limited to principal and accruing interests amounts (with interest on all amounts past due accruing at the greater of 1-1/2% per month or the highest rate allowed by applicable law), the undersigned agrees to pay Indiana Ultimate, Inc. all collection and any litigation, including attorney’s fees and court costs incurred by Indiana Ultimate, Inc. to recover such amounts.
Parent/Guardian Name:
*
First
Last
Parent/Guardian Signature
*
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PHOTO RELEASE
As a parent or legal guardian of the participating person, I give my consent for Indiana Ultimate, Inc to use images of participant in print publications, online publications, presentations, websites and social media.
Parent/Guardian Name:
*
First
Last
Parent/Guardian Signature
*
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PARENT HANDBOOK ACKNOWLEDGEMENT
View the Parent handbook
CLICK HERE
My signature below indicates that I have reviewed the contents of the Indiana Ultimate Parent Handbook. I am aware that a copy of the parent handbook can be obtained at any time by asking any staff member of Indiana Ultimate, Inc. I accept responsibility for adhering to the expectations, policies and procedures outlined in the handbook.
Parent/Guardian Name:
*
First
Last
Parent/Guardian Signature
*
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ATTENDANCE POLICY AGREEMENT
As the parent or legal guardian of participating athlete I understand the importance of my child’s attendance. I have reviewed the attendance policy put into place by Indiana Ultimate Inc. and my signature below indicates that I understand this policy and the consequences that are also outlined in the
parent handbook.
Parent/Guardian Name:
*
First
Last
Parent/Guardian Signature
*
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CODE OF CONDUCT & PROGRAM RULES
If you have any questions or concerns that need immediate attention please use the following chain of command:
1 st Head Coach 2 nd All-star Director 3 rd Owner
Personal items such as cell phones, school bags, or gym bags must be taken into the gym and stored in the cubbies off the practice floor area. NO items are to be left in the athlete staging area or cubbies. Cell phones must be silenced and stored away during practice. Indiana Ultimate is NOT responsible for lost or stolen items brought into the gym.
You are NEVER allowed to use the Indiana Ultimate name or logo for any personal or commercial use.
You must arrive at all practices, competitions or any scheduled events on time. Punctuality is a MUST.
All team routine decisions are left to the discretion of the coach.
Athletes need to be able to physically and mentally perform ALL aspects of competitive cheerleading.
Please keep in mind the gym is not a babysitting service. Dropping your kids off unsupervised is not allowed.
Good sportsmanship and polite manners are mandatory at all practices and competitions from athletes AND parents. NO GOSSIP about any other teams, a child on any team or coaches/staff will be tolerated. It is necessary to address a problem through the chain of command listed above.
Practices may be changed, added or cancelled at any time during the season.
Competitions may be changed, added or cancelled at any time during the season.
The coaches reserve the right to close practices at ANY time for ANY reason.
It is the parent’s responsibility to know what is going on with your team. Check your emails, Facebook pages and website regularly.
Withholding a child from a practice or a competition is not an acceptable form of punishment and may result in dismissal.
Athletes should be able to handle school work and all-star practices. Learning time management is a vital life skill. Homework is NOT an acceptable excuse for missing practice.
Parents, relatives, friends and cheerleaders are never allowed to speak with competition officials for any reason. EVER!
Parents and athletes are required to ALWAYS represent Indiana Ultimate, Inc in a positive manner. This is especially so at practices and competitions.
Parents are never allowed to represent Indiana Ultimate under any circumstances concerning accommodations, competitions or any other situations. PERIOD!
Parents and athletes posting negative comments on social media will not be tolerated and may result in dismissal from the team or program as a whole.
Placing athletes on team(s) is solely on the discretion of the coaches
Indiana Ultimate Inc. may move, replace, add, suspend or even dismiss an athlete for a period of time or indefinitely from a team or the entire program based on the criteria, including but not limited to: Attendance, Ability to Pay, Skills, Parent Conflict and/or Attitude/Conduct.
Coaches will determine the roles and/or positions an athlete will have on their team(s)
There will be no arguing or questioning of the coaching staff’s decisions at practices or competitions. EVER
Indiana Ultimate maintains the right to refuse or stop services at any time.
Parent/Guardian Signature
*
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Athlete Signature
*
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PLACEMENT FORM
Athlete Name
*
First
Last
Date of Birth
*
Month
Day
Year
Are you willing to do a 2nd team?
*
**This does not guarantee that you will be placed on a second team. Crossovers are determined at the coach's discretion. Fees are $50/month more for the 2nd team and an additional $365 for competition fees.
Yes
No
Are you willing to travel to Elkhart?
*
**Only select yes if you are SERIOUS. Changing your mind AFTER teams are announced creates MANY headaches for the staff.
Yes
No
SKILLS
Check the boxes where the skill has been successfully executed at a competition. If you have never competed before, that's okay! You can type in the skills that you have in the box below this section.
LEVEL 1 SKILLS
Backward-roll
Forward-roll
Handstand
Handstand Forward-roll
Backbend Kick-over
Cartwheel
Roundoff Rebound
Standing Back-walkover
Standing Multiple Back-walkovers
Front Walkover
Front Walkover Cartwheel/Roundoff >into tumbling series
Running Specialty Pass
LEVEL 2 SKILLS
Standing Back-handspring
Jump > "T"-jump Back-handspring
Standing Back-walkover Back-handspring
Cartwheel Back-handspring
Roundoff Back-handspring
Roundoff Multiple Back-handsprings
Running Specialty Pass
LEVEL 3 SKILLS
Standing Multiple Back-handsprings
Jump/Jump Combo to Standing Back-handspring(s)
Running Roundoff Back-handspring Back-tuck
Front Walk-over Roundoff Back- handspring Back-tuck
Punch-front→ Roundoff Back- handspring Back-tuck
Running specialty pass
LEVEL 4 SKILLS
Standing back-tuck
Jump/Jump combo “T”-jump to back-tuck
Standing back-handspring back- tuck
Jump/jump combo to standing back-handspring back-tuck
Standing two back-handsprings to back-tuck
Standing specialty pass through to a back-tuck
Running roundoff back- handspring back-layout
Front-walkover roundoff back- handspring back-layout
Punch-front step-out through to back-layout
Running Specialty Pass
LEVEL 5/6 SKILLS
Standing-full
Jump/jump combo to back-tuck
Standing back-handspring to back-layout
Standing multiple back- handsprings to back-layout
Standing back-handspring to full-twisting-layout
Standing multiple back- handsprings to full-twisting- layout
Standing multiple back- handsprings to double-twisting- layout
Jump/jump combo to standing back-handspring(s) back-layout Jump/jump combo to standing back-handspring(s) full-twisting- layout
Jump/jump combo to standing back-handspring(s) double- twisting-layout
Specialty standing pass through to a full/double-twisting-layout
Running roundoff back- handspring full-twisting-layout
Front-walkover → full-twisting- layout
Punch-front → full-twisting- layout
Running specialty pass through to a full-twisting-layout
Running roundoff back- handspring double-twisting- layout
Front-walkover → double- twisting-layout
Punch-front → double-twisting- layout
Running specialty pass through to a double-twisting-layout
Please list any skill that you have not competed yet but would like us to know about.
PAYMENT INFORMATION
In this section, you will provide the card you wish to have held on file and charged according to our Financial Agreement.
Name
*
First
Last
Phone
*
Email
*
Billing Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
CREDIT CARD AUTHORIZATION
If your account is not current by the 1st of the month your card will be ran.
There is a $25.00 per credit card failure fee. Please inform Indiana Ultimate office staff of any changes to your credit card to avoid these charges
ALL CREDIT CARD INFORMATION WILL BE HELD CONFIDENTIALLY BY INDIANA ULTIMATE OFFICE STAFF AND WILL NOT BE AVAILABLE TO ANY OTHER STAFF MEMBER
*
This card will be held on file and charged according to our Financial Agreement. If your account is not current by the 1st of the month your card will be ran.
I have read and understand the Credit Card Authorization Policy
Type of Credit Card:
*
WE DO NOT ACCEPT AMERICAN EXPRESS
Cardholder Name
*
Credit Card Number:
*
Expiration Date
*
Security Code
*
Tryout Fee
A $35 fee will be processed today for your all star registration enrollment.
Tryout Fee
*
Price:
Total
$0.00
Credit Card
*
Card Details
Cardholder Name
Cardholder Signature
*
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Parent's Name
*
First
Last
Child's Name
*
First
Phone
*
Email
*
More Information On (Check all that apply):
*
Ultimate Party Package
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