26thANNUAL RICCA CHEERLEADING CHAMPIONSHIP
The RI Cheerleading Coaches Association invites all Middle School and Junior High School Cheerleading Teams to participate in the Rhode Island State Championship. High School teams are invited to participate in the RICCA Cheerleading Championship.
Date: SundayMarch 3, 2013
Place:
Session 1: Middle School and Junior High State Championship
Registration and warm-up begin 10:00 AM; Competition begins 11:00 AM.
Session 2: Varsity and Junior Varsity RICCA Cheerleading Invitational
Registration begins 1:00 PM; warm-up begins 1:15 PM; Competition begins 1:30 PM.
To participate at the RICCA Championship:
-To participate at least one coach/advisor per team must be a RICCA member prior to January 31, 2013 (See attached RICCA membership registration form);
-To participate at least one coach/advisor per team must have completed a safety certification course approved by RICCA prior to the Championship/Invitational.
Each team will have a maximum of Two minutes and 30 seconds to perform with no more than 1 minute and 30 seconds of music. Teams must perform on the 42 x 42 mat that will be provided.
The maximum number of cheerleaders to compete in the Middle School /Junior High State Competition shall be 20 including spotters. The maximum number of cheerleaders in the high school divisions shall be 20 including spotters.
Teams must follow the current National Federation of State High School Association Spirit Rules Book as well as applicable RICCA rules.
All paperwork (registration form, roster, medical release forms) must be POSTMARKED by 2/7/13 so that receipt by RICCA is no later than 2/11/13. Included with each registration shall be the registration fee of $125.00. Teams registrations received after 2/11/13 shall be assessed a penalty of $25.00.
A coach or representative for each team must be present at the RICCA meeting to be held on February 20 at 6 PM at Portsmouth High School. Further information including rules, divisions and order of appearance to be determined.
Registration, medical release forms and registration fee of $125.00(checks payable to RICCA) sent to: RICCA Championship
C/O Lynne DePasquale
30 Dante. Street
Barrington, RI 02806
Should you have any questions please contact the Championship Chairpersons:
Lynne DePasquale401-580-0528 or Kayla Solitro 401-595-3668
RICCA High School Championship and
Rhode Island Junior High and Middle School State Cheerleading Championship
School Name: ______
School Address: ______
City: ______Zip: ______Phone: ______
Coach: ______E/MAIL: ______
Coach – Address: ______
City: ______Zip: ______Phone: ______
2nd Coach: ______E/MAIL: ______
Coach – Address: ______
City: ______Zip: ______Phone: ______
Division:
Junior High _____Number on team _____ Number of participants _____
Middle School ____ Number on team _____ Number of participants _____
Junior Varsity _____ Number on team _____ Number of participants _____
Varsity ____Number on team __ Number of participants ____
Co-Ed Varsity ______Number on team _____ Number of participants _____
RICCA Spirit Squad Nominee:
Each team can nominate one cheerleader from that team who exemplifies cheerleading. He/she should be the one member on your team who is most dedicated to the sport of cheerleading and exemplifies this through participation on your team.
Cheerleader Nominee: ______
Team:______
Needed for all NON MEMBER Varsity, Middle School and Jr High School teams
Medical Treatment Release, Liability Release & Agreement for Appearance
I, the undersigned parent/guardian, do hereby grant permission for my daughter/son, whose name is ______, and hereinafter shall be referred to as “participant” to participate in the RICCA Championship on 3/3/13, a tournament conducted by the Rhode Island Cheerleading Coaches Association being held at Portsmouth High School. In order that the said participant may receive the necessary medical treatment in the event of an injury or illness, I hereby hold RICCA, PortsmouthHigh School, and its representatives harmless in the exercises of this authority.
I further acknowledge, understand and agree that in taking part in the tournament there is a possibility of physical illness or injury and that the participant is assuming the risk of such illness and injury by their participation.
I further agree to hold harmless, RICCA and Portsmouth School, including its directors, officers and tournament officials and staff from any and all liability for any claim whatsoever, including any claim arising out of any injury or illness incurred by the participant during the course of the tournament including, but not limited to practices, social activities, competition and/or any other activity associated within the course of the tournament.
WAIVER OF LIABILITY
I hereby waive and absolve RICCA and Portsmouth School, and all tournament officials of any/all liability and responsibility for injuries, sickness, accidents and/or acts of God incurred during participation in the RICCA Championship by my child ______. In consideration of my signed release allowing my child to participate in the tournament, I intend to be legally bound, do hereby, my heirs, executor and administration, waive, release and forever discharge any and all rights and claims for damage which I may have or which hereafter may accrue to me against RICCA and Portsmouth High School, the tournament directors, agents, representative, successor and/or assignees for any and all damages which may be sustained or suffered by me or my child in connection with my association with or participation in or rising out of travel to and/or return from the respective RICCA Championship cheerleading tournament site. In the event or injury/accident/sickness, RICCA should make reasonable attempt to contact the designated adult listed below.
______
Signature of Participant Signature of Parent/Guardian
IN CASE OF EMERGENCY CALL
Name______Relationship______
Phone______Insurance Carrier______
Policy Number______
In the event of injury/accident or sickness requiring immediate medical treatment, I request that reasonable efforts be made to contact me directly. If, I cannot be reached, I authorize RICCA to make appropriate arrangements for treatment.
Signature______Date______I
26th ANNUAL RICCA CHEERLEADING CHAMPIONSHIP
Team: ______
Please list all participating members of the team as well as alternates.
1. ______alt ______
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3. ______alt ______
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Coach /Advisor(s) ______