2023 NBTA Texas State Group Registration Please fill out the form separately for each team being registered. Team Name (how you would like it to be announced):* Team's Average Age:* Coach Name(s):* Coach Phone Number:* Coach Email Address #1:* Coach Email Address #2:___________________________________________________________Team Divisions (select one): Twirling Team:Beginner Small Twirling Team ($40)Beginner Large Twirling Team ($40)Advanced Small Twirling Team ($40)Advanced Large Twirling Team ($40) Dance Twirl Team:Beginner Small Dance Twirl Team ($40)Beginner Large Dance Twirl Team ($40)Advanced Small Dance Twirl Team ($40)Advanced Large Dance Twirl Team ($40) School Majorette Dance Twirl Team:School Majorette Dance Twirl Team - Junior High ($40)School Majorette Dance Twirl Team - High School ($40) Half Time School Show Twirl Team:Half Time School Show Twirl Team - Junior High ($40)Half Time School Show Twirl Team - High School ($40)Half Time School Show Twirl Team - College ($40) Half Time Show Team:Half Time Show TWIRL Team Small ($50)Half Time Show TWIRL Team Large ($50)Half Time Show Dance Line Team Small ($50)Half Time Show Dance Line Team Large ($50)Half Time Show Pom Pon Team Small ($50)Half Time Show Pom Pon Team Large ($50)Half Time Show Cheerleading Team Small ($50)Half Time Show Cheerleading Team Large ($50) Please list the name and birthdate of all team members:NameBirthdateName 1:Name 2:Name 3:Name 4:Name 5:Name 6:Name 7:Name 8:Name 9:Name 10:Name 11:Name 12:Name 13:Name 14:Name 15:Name 16:___________________________________________________________Duets & Trios State Duets:0-18 Beginner ($25)19-24 Beginner ($25)25-30 Beginner ($25)31+ Beginner ($25)0-18 Advanced ($25)19-24 Advanced ($25)25-30 Advanced ($25)31+ Advanced ($25) State Trios:Trio ($34) IBTF Pairs Ratings: (IBTF Events will be offered solely as a ratings and can only be registered for by Team USA members competing in that event at the World Championship or Nations Cup)IBTF Duet Ratings ($25)IBTF Artistic Pairs Ratings ($25) Please list the name and birthdate of all twirlers in the duet or trio:(1)NameBirthdateName 1:Name 2:Name 3:___________________________________________________________Programs & Good Luck Ads Texas State Event Program:Would you like to order any programs?*No, I would not like any additional programsYes, I would like order additional programs ($12 each)Quantity Texas State Program Good Luck Ads: Would you like to order a good luck ad? All ads will be in Black & White and must be sent as a jpg or png fileArtwork must be emailed by May 26, 2023*No Ad1/8th Page Ad ($15)Quarter Page Ad ($25)Half Page Ad ($50)Full Page Ad ($100)___________________________________________________________Facility Fee & Payment Options Facility Surcharge: If 50% of students are competing individyally, there is no favcility surcharge. *50% of the team members are also competing individuallyLess than 50% of the team is competing individuallyPayment Options: Once you submit this form it will be sent to us to start your twirler's registration. You will also be redirected to PayPal for payment. If you prefer to use PayPal or a credit card, please continue on with this option. For group events, there is a $3 processing fee if using PayPal or a credit card. If you would prefer to use a different form of payment, you can just close the PayPal screen. Payment will also be accepted via Venmo (@nbtatxstatecentx), CashApp ($nbtatxstatecentx), or check payable to "NBTA Texas State" mailed to NBTA Texas State, 1808 Saline Creek Dr., Cedar Park, TX 78613. How will you be sending payment: *Please Note: If you are not paying with PayPal, it will still take you to the PayPal screen. Just close the PayPal screen. Your registration form will be sent to us when you hit submit whether you pay with PayPal or not**I will send payment via PayPal/Credit Card through the pay screen ($3 fee)I will send payment seperatly via Venmo to @nbtatxstatecentx, CashApp to $nbtatxstatecentx, or a check to the address provided (no fee)___________________________________________________________No Refunds Policy No Refunds Policy: I Acknowledge that there are NO REFUNDS for any reason, including change of personal plans/availability, change of venue, change of date, change of judges, change of format, change of schedule, or change of safety requirements. *Yes, I acknowledge the refund policy___________________________________________________________Liability Release FormThese statements must be signed by the contestant or a parent/legal guardian of each contestant under the age of 18 and received by the contest directors at the time of registration before your entry will be processed. I (we) represent that I (we) are the competitor or the parent/legal guardian(s) of the minor (competitor) under the age of 18 years and, in order to have you accept their competition entry, have accepted this document on behalf of myself or said minor and ourselves individually and jointly, and agree to be bound by all terms and conditions in this liability release, in the same manner if we were the (competitor) twirler. Each of us hereby releases the NBTA Texas State Championship and/or Contest Directors, and East View High School, its officers, agents and all employees from any and all liabilities. With the acceptance of this form, the undersigned agree to indemnify and hold harmless the above mentioned from any liability in connection with this event. I (we) also recognize that by entering in this competition I (we) am (are) assuming the risk involved with potential exposure to COVID-19. While the contest directors will uphold as many precautions as possible, I (we) understand that there is inherent risk with any activity that involves possible contact with other people. Acknowledgement Signature:*Clear___________________________________________________________Items Selected & Payment Total Total Due:SubmitReset