The Junior Raiderettes program offers an opportunity for children to learn and perform alongside The Raiderettes in a
non-competitive and exciting environment. Juniors, ages 6-14, with all dance and cheerleading ability, are encouraged to
participate – auditions are not required!
The 2015 Junior Raiderette package includes:
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Official Junior Raiderette uniform including silver pom poms.
Two rehearsals taught by The Raiderettes and choreographers.
One pregame performance during an Oakland Raiders regular season home game.
Special ticket purchase opportunities to the Oakland Raiders home game.
One 8”x10” autographed team photograph of The Raiderettes.
Official Junior Raiderette participation certificate.
Commemorative DVD of the pregame performance.
ENROLLMENT: Please read carefully.
Please complete and return the entire application by Friday, August 14, 2015. Space is limited. Applications will NOT be accepted
once all spots are filled or after the submission deadline. An incomplete application will not be accepted.
COST: The standard registration fee for the 2015 Junior Raiderettes program is $200.00. However, if you are registering a
participant who already has an official Junior Raiderette uniform from previous participation in the program, your fee is $150.00.
Please note that a uniform cannot be returned or exchanged if it has been worn.
*Season Ticket Member Exclusive 15% Discount: Cost:
Participant:
Cost:
New Participant
$170.00
New Participant
$200.00
Returning Participant, No Uniform Needed
$127.50
Returning Participant, No Uniform Needed
$150.00
*Season Ticket Member Discount: 2015 Season Ticket Members will receive an exclusive 15% discount. You must be a Season
Ticket Member in order to receive the discounted price! For more information about how to become a 2015 Season Ticket Member,
call 1-800-RAIDERS.
REFUND POLICY: Enrollment fees are not refundable. Refunds will not be issued for expulsion or voluntary withdrawal from the
program. All orders received after all spots are filled or after the deadline will be returned.
HEALTH CARE & INSURANCE: Each participant must provide their own insurance. Proof of medical insurance is required.
Parents or guardians will be responsible for any medical care given at a local hospital facility.
Date:
Event:
Location:
Time:
September 12 - Saturday
Mandatory Rehearsal
Burrell Field
9:00am-9:30am REGISTRATION
9:30 am – 11:30am REHEARSAL
September 19th - Saturday
Optional Photo Shoot /
Mandatory Rehearsal
Burrell Field
9:00 am – 12 pm PHOTOS
12:30 pm-1:00pm CHECK IN
1:00 pm-3pm REHEARSAL
th
September 20th - Sunday
Pregame Performance
O.co Coliseum
11:30 am – kickoff
TICKETS:
Sunday, September 20th – Baltimore Ravens vs. Oakland Raiders:
 Your Junior Raiderette and the parent or guardian accompanying the Junior Raiderette must have a ticket in order to enter
O.co Coliseum on game day.
 Tickets to the September 20th game are not included in the Junior Raiderette registration fee. However, you will receive a
special opportunity to purchase select tickets to the September 20th game.
If you have additional questions regarding the Junior Raiderettes Program, please contact Kelly McDonald at (510) 780-3207 or
kmcdonald@raiders.com. To register online, please visit: http://www.raiders.com/raiderettes/junior-raiderettes.html
17th ANNUAL JUNIOR RAIDERETTES PROGRAM APPLICATION
Submission Deadline: August 14, 2015
*Applications will not be accepted once all spots are filled or after the submission deadline. The entire
application must be completed. An incomplete application will not be accepted.*
PLEASE PRINT CLEARLY.
Participant Information:
Name:________________________________________________________________________
Age (As of 8/30/15): ___________________ Grade, Fall 2015:________________________
Uniform (Dress) Size: (Circle One) Youth: S M L XL Junior: S M L XL 2XL
Medical Information, Allergies:___________________________________________________
Current Medications: ___________________________________________________________
Pertinent Medical History:_______________________________________________________
Family Doctor:____________________________ Phone :(______)__________ - ___________
Insurance Co.:__________________________________________________________________
Policy Holder:__________________________________________________________________
Policy Number:_________________________________________________________________
Parent/Guardian Information:
Parent/Guardian Name: ________________________________________________________
Address: ______________________________________________________________________
City: _________________________________________________________________________
State: _________________________ Zip: __________________________________________
Phone :(______)__________ - ____________
Alt. Phone :(______)_______ -__________
E-Mail: _______________________________________________________________________
Emergency Contact Name: _______________________________________________________
Emergency Phone :(______)__________ - __________
Method of Payment: (Circle One)
Check Money Order VISA MC AMEX
Price: (Circle One) $200.00 $150.00 $170.00* $127.50* (*Only for 2015 Season Ticket Holders)
Check #: _____________________
Date: ______________________
Credit Card #: _________________________________ Exp. Date: ___________Sec#______
Check/Credit Card Holder Name: _________________________________________________
Card Holder’s Address: ________________________________________________________
City: __________________________________________________________________________
State: _____________________________ Zip: ______________________________________
Signature: _____________________________________________________________________
Season Ticket Holder First and Last Name: ________________________________________
Season Ticket Holder Account Number: ___________________________________________
APPLICATIONS WILL ONLY BE ACCEPTED VIA FAX OR MAIL.
PLEASE DO NOT SEND APPLICATIONS VIA EMAIL
Mail payment and completed application to:
Oakland Raiders * 1220 Harbor Bay Parkway * Alameda, CA 94502
Attn: Kelly McDonald Junior Raiderettes
FAX: 510-229-5989
CONFIRMATION: You will receive a confirmation packet VIA E-MAIL upon completion of registering your participant.
Included in the confirmation packet will be additional information about rehearsals, the photo shoot and special ticket purchase
opportunities
2015 Jr. Raiderette Registration Waiver
I (“Parent”) desire to have my child (“Raiderette”), participate in the Junior Raiderettes program hosted by the Oakland Raiders, a
California Limited Partnership (“Raiders”). I acknowledge the tasks required as a Junior Raiderette are physically demanding athletic
activities and are potentially dangerous activities with an inherent risk of injury. In consideration for the Raiders’ agreement to accept
Raiderette as a member of the Junior Raiderettes program, I for myself, for Raiderette, and for both of our families, heirs, personal
representatives, assigns and insurers, hereby now and forever release, waive, discharge, and covenants not to sue the Raiders, and each
of its past and present partners, limited partners, owners, entity owners (and the current and former officers, directors, shareholders,
partners, members, limited partners and employees of any owners or entity owners), employees, agents, attorneys, directors, officers,
shareholders, contractors, successors, assigns, subsidiaries, affiliates and insurers (collectively “Released Parties”), from and of any
and all claims, debts, liabilities, demands, obligations, costs, fees, expenses, actions and causes of action whatsoever, of every nature,
character and description, known, unknown, discovered, undiscovered, suspected or unsuspected (collectively “Claims”) including,
but not limited to any and all Claims arising out of or in any way related to Raiderette’s participation in the Junior Raiderettes
program; Raiderettes presence at any Junior Raiderette practice, performance, or event; the alleged negligence of any of the Released
Parties; any personal injury, accidents or illness (including death) or property loss; Raiderette’s presence at the O.co Coliseum at any
time; Raiderette’s presence at the Oakland Raiders’ facility in Alameda, California at any time; and any medical care provided
pursuant to the authorization below. I represent and warrant that I own and/or have authority to release such claims and expressly
waives the provisions of California Civil Code Section 1542 which provides:
“A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of
executing the release, which if known by him must have materially affected his settlement with the debtor.”
Parent also agrees that at all times Parent will defend, hold harmless, and indemnify the Released Parties from and against any and all
claims, debts, liabilities, demands, obligations, costs, fees, expenses, actions, causes of action and liabilities of any kind or nature
whatsoever (including reasonable attorneys’ fees and disbursements) arising out of, in any way related to, or in any way connected
with (1) Raiderette’s participation in the Junior Raiderettes program; (2) Raiderettes presence at any Junior Raiderette practice,
performance, or event; (3) the alleged negligence, active or passive, of any of the Released Parties; (4) any personal injury, accidents
or illness (including death) or property loss; (5) Raiderette’s presence at the O.co Coliseum at any time; (6) Raiderette’s presence at
the Oakland Raiders’ facility in Alameda, California at any time; and (7) any medical care provided pursuant to the authorization
below.
Parent assigns any and all right, title, and interest (including all publicity rights) in any and all pictures, photographs, videos, or other
images in any format taken of Raiderette by the Raiders (“Images”) to the Raiders and agrees that the Raiders may, inter alia, use,
publish, copyright, and distribute the Images for any reason or purpose whatsoever, including, but not limited to, commercials, game
programs, posters, billboards, scoreboard displays, and any other publicity or advertising media (“Promotional Materials”) and that the
Raiders may enter into agreements with any other individuals, entities, or parties with respect to the Images and any Promotional
Materials. Parent agrees that the potential publicity that may be received by virtue of any use (whether or not such use actually
occurs) shall be full and adequate consideration for this consent.
Parent understands that Parent is required to maintain and carry accident medical insurance coverage for Raiderette and by agreeing
and signing or clicking below; Parent verifies that the coverage information submitted with Raiderette’s application is accurate and
true. In case of any emergency, as shall be solely determined by the Raiders’ medical staff, Parent consents to and expressly
authorizes the Raiders to obtain any medical treatment that the Raiders medical staff, in its sole discretion, determines is necessary for
Raiderette’s welfare. By signing below, Parent agrees to be financially responsible for all charges and fees incurred in rendering such
emergency care, regardless of whether Parent’s medical insurance covers such charges.
Date: _______________
Parent/Legal Guardian: __________________________________
Participant Name: _______________________________________________________________