CHEER TEAM ROSTER
PLEASE NOTE: You will also need to submit a USASF Roster for all teams with verified participant ages.
Gym Name_______________________________________________Team Name______________________________________________
Division __________________________________________________________________ Level 1 2 3 4 4.2 5 6 (Circle One)
Address__________________________________________________________________________________________________________
City _______________________________________________________ State __________ Zip_________ Country ______________________
Event where team qualified ________________________________________________________________________________________
Please list the names of all participants that are performing on the floor at the UCA International All Star Championship. Identify each participant
that is performing with the team and mark “Crossover” if a member is cross competing on another team. For scheduling purposes please list the
other team they will be competing with.
Complete a separate roster for each team.
PLEASE NOTE:
Copies of participants’ birth certificates will no longer be required with the registration packets. However, copies of all participants’ birth certificates must be with
the team’s coach/representative at all times and readily available upon request from an event official. A hard copy must be on hand – no USB/Zip drive will be acceptable.
Crossover
Participant’s Name
Division
1. ______________________________________________
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2. ______________________________________________
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3. ______________________________________________
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4. ______________________________________________
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5. ______________________________________________
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6. ______________________________________________
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7. ______________________________________________
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8. ______________________________________________
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9. ______________________________________________
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10. ____________________________________________
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11. ____________________________________________
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12. ____________________________________________
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13. ____________________________________________
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14. ____________________________________________
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15. ____________________________________________
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16. ____________________________________________
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17. ____________________________________________
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18. ____________________________________________
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19. ____________________________________________
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20. ____________________________________________
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Crossover
Participant’s Name
Division
21. ____________________________________________
m
_________________
22. ____________________________________________
m
_________________
23. ____________________________________________
m
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24. ____________________________________________
m
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25. ____________________________________________
m
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26. ____________________________________________
m
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27. ____________________________________________
m
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28. ____________________________________________
m
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29. ____________________________________________
m
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30. ____________________________________________
m
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31. ____________________________________________
m
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32. ____________________________________________
m
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33. ____________________________________________
m
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34. ____________________________________________
m
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35. ____________________________________________
m
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36. ____________________________________________
m
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ALTERNATES
37. ____________________________________________
m
_________________
38. ____________________________________________
m
_________________
39. ____________________________________________
m
_________________
Please list up to three coaches names that you would like listed on the video screen at the event:
(Limit of three please)
__________________________ __________________________ __________________________
TEAM ROSTER IS DUE FEBRUARY 12, 2014.
Male
Female
Crossover
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Male
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Crossover
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16
CHEER TEAM ROSTER
Please tear out along the perforations. You may make copies of this form.
