CENTERSTAGE CHEER AND DANCE LLC. (C.C.D., LLC) ACKNOWLEDGMENT, AUTHORIZATION AND RELEASE FORM
In consideration for (athletes name) ________________________________________s participation in the activities provided by C.C.D., LLC, including but, not limited to all aspects of cheerleading, tumbling, trampoline, and dance training and/or competition, I am fully aware that any activity involving motion, height, or athletic activity creates the possibility of serious injury. I hereby release C.C.D., LLC, including its officers, shareholders, agents, and employees, from any liability to the above named athlete, of the person claiming through him/her, arising from injury to the person or property of the above named athlete occurring on the premises of C.C.D., LLC, including any event sponsored or sanctioned by C.C.D., LLC, and/or travel to and from such activities. This release includes but is not limited to any claims of negligence, dangerous condition, latent defect, premises liability, code violation, negligent security, failure to warn, vicarious liability, negligent hiring, negligent supervision, negligent maintenance, or improper/dangerous equipment; it is intended to be as broad as permissible under Florida Law. I am fully aware of the nature of the activities provided and the possibility of injuries arising from such activities. I further agree to hold harmless, indemnify and defend C.C.D., LLC, including its officers, shareholders, agents, and employees from any loss, liability, damage, or cost incurred by them due to the above named athlete on the premises or during any event sponsored or sanctioned by C.C.D., LLC. This release is intended to be binding upon the athlete his/her heirs, assignees, and successor in interest, and anyone claiming by or through him/her. In addition, I have read and understood the registration form and agree to all terms as stated above. I also attest that all information given is factual. I certify that the athlete is in good health and may participate in activities at C.C.D., LLC. In case of an emergency requiring medical treatment, the undersigned hereby authorizes C.C.D., LLC, to take the above named athlete to a qualified medical or hospital facility for care and treatment.
Athletes Name: Athletes Sinature:
Parent / Legal Guardians Name: Parent / Legal Guardians Signature: Date: