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Release and Waiver Form 2017-2018 Season

By siging this waiver I hereby grant the permission necessary to allow Minor to participate in the above event held by Spirit Brands, ARSC, Cheer Tech, or any company they are affiliated with. I acknowledge and agree, in my own behalf andthe behalf of the Minor, that cheerleading subjects Minors to the possibility of physical illness or injury (minimal, serious, catastrophic,and/or death) and that I, in my own behalf and on the behalf of the Minor, acknowledge that the Minor is assuming the risk of such illness orinjury by participating in this event. In the event of illness or injury, I authorize to obtain necessary medicaltreatment for the Minor and hereby, in my own behalf, and the behalf of the Minor, release and hold harmless the hosting site,on whose premises the Event will occur, all employees, volunteers, athletics trainers, and directors of I further acknowledge andunderstand that I will be responsible for any and all medical and related bills that may be incurred on behalf of the Minor for any illness orinjury that the Minor may sustain during the Event and while traveling to and from the site for the Event whether or not the event actuallyI, in my own behalf and the behalf of the Minor, further agree to release and to hold harmless Releasees from any and all liability fornegligence or any other claim, judgment, loss, liability, cost and expenses (including without limitations, attorney's fee and costs) arising out of or connected with the Event, including any claim arising out of or connected with any illness or injury that the Minor may incur or sustainduring the Event, all activities associated with the Event and while traveling to and from the site for the Event. I further expressly agree toindemnify and hold harmless Releasees and Releasees, heirs, successors, assigns, executors and administrators against loss of any furtherclaims, demands or actions that may subsequently be brought by Minor or any other person or persons on account of damages of anycharacter resulting to Minor in any way from the foregoing activities. I further agree to reimburse and to make good to Releasees any loss,damages or costs Releasees may have to pay as a result of any such action, claim or demand.

Appearance Agreement: I understand that from time to time produces promotional material relating to its program.I understand as a participant or a spectator at the Event the Minor may be included in videotapes or photographs during the Event. I, in myown behalf and on the behalf of the Minor, Hereby assign, transfer and grant to the exclusive right to photographand/or videotape the Minor and to utilize such videotapes and photographs of the Minor in advertising and promoting the Event or inadvertising and promoting future events.

I, in my own behalf and on behalf of the Minor, hereby warrant that I have read this Release and Waiver in its entirety and fully understandits content. I, in my own behalf and on the behalf of the Minor, am aware that this Release and Waiver releases Releasees from liability andcontains an acknowledgement of my voluntary and knowing assumption of the risk of injury or illness. I, in my own behalf and on mybehalf of the Minor, further acknowledge that nothing in this Release and Waiver constitutes a guarantee that the Event will occur. I, in myown behalf and on my behalf of the Minor, have signed this document voluntarily and of my own free will.

Parent & Athlete Code of Conduct: It is the goal of to provide a safe, fun and enjoyable environment for ourchildren to cheer and compete. It should be the primary objective of Coaches, Staff, and Parents to ensure that this goal is achieved. Verbal abuse of any athlete, Staff, judge, or fan shall be grounds for a warning, team disqualification, or ejection from the facility with no refund. By signing this I agree to abide by these conditions as set forth within.

 

First Athlete Name

First Name*

Middle Name

Last Name*

Phone*
First Athlete Date of Birth*
First Athlete Info

Team Name *
Events *
Competitions held in November
Competitions Held in December
Competitions Held in January
Competitions held in February
Competitions held in March
Competitions held in April
Competitions held in May
Cheerleading Camps
Cheerleading Choreography
Tumbling Camps
Cheerleading Clinics

Medication And Allergies

I represent that any medication to which Minor is allergic or is currently taking are listed below. 

I agree that Minor shall bring medications which Minor is currently taking with him/her to the Event and that he/she shall consume the prescribed dosage.


Medications (if any)

Allergic to (if any)
First Athlete Signature*
Second Athlete Name

First Name*

Middle Name

Last Name*

Phone*
Second Athlete Date of Birth*
Second Athlete Info

Team Name *
Events *
Competitions held in November
Competitions Held in December
Competitions Held in January
Competitions held in February
Competitions held in March
Competitions held in April
Competitions held in May
Cheerleading Camps
Cheerleading Choreography
Tumbling Camps
Cheerleading Clinics

Medication And Allergies

I represent that any medication to which Minor is allergic or is currently taking are listed below. 

I agree that Minor shall bring medications which Minor is currently taking with him/her to the Event and that he/she shall consume the prescribed dosage.


Medications (if any)

Allergic to (if any)
Third Athlete Name

First Name*

Middle Name

Last Name*

Phone*
Third Athlete Date of Birth*
Third Athlete Info

Team Name *
Events *
Competitions held in November
Competitions Held in December
Competitions Held in January
Competitions held in February
Competitions held in March
Competitions held in April
Competitions held in May
Cheerleading Camps
Cheerleading Choreography
Tumbling Camps
Cheerleading Clinics

Medication And Allergies

I represent that any medication to which Minor is allergic or is currently taking are listed below. 

I agree that Minor shall bring medications which Minor is currently taking with him/her to the Event and that he/she shall consume the prescribed dosage.


Medications (if any)

Allergic to (if any)
Fourth Athlete Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Athlete Date of Birth*
Fourth Athlete Info

Team Name *
Events *
Competitions held in November
Competitions Held in December
Competitions Held in January
Competitions held in February
Competitions held in March
Competitions held in April
Competitions held in May
Cheerleading Camps
Cheerleading Choreography
Tumbling Camps
Cheerleading Clinics

Medication And Allergies

I represent that any medication to which Minor is allergic or is currently taking are listed below. 

I agree that Minor shall bring medications which Minor is currently taking with him/her to the Event and that he/she shall consume the prescribed dosage.


Medications (if any)

Allergic to (if any)
Fifth Athlete Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Athlete Date of Birth*
Fifth Athlete Info

Team Name *
Events *
Competitions held in November
Competitions Held in December
Competitions Held in January
Competitions held in February
Competitions held in March
Competitions held in April
Competitions held in May
Cheerleading Camps
Cheerleading Choreography
Tumbling Camps
Cheerleading Clinics

Medication And Allergies

I represent that any medication to which Minor is allergic or is currently taking are listed below. 

I agree that Minor shall bring medications which Minor is currently taking with him/her to the Event and that he/she shall consume the prescribed dosage.


Medications (if any)

Allergic to (if any)
Sixth Athlete Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Athlete Date of Birth*
Sixth Athlete Info

Team Name *
Events *
Competitions held in November
Competitions Held in December
Competitions Held in January
Competitions held in February
Competitions held in March
Competitions held in April
Competitions held in May
Cheerleading Camps
Cheerleading Choreography
Tumbling Camps
Cheerleading Clinics

Medication And Allergies

I represent that any medication to which Minor is allergic or is currently taking are listed below. 

I agree that Minor shall bring medications which Minor is currently taking with him/her to the Event and that he/she shall consume the prescribed dosage.


Medications (if any)

Allergic to (if any)
Seventh Athlete Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Athlete Date of Birth*
Seventh Athlete Info

Team Name *
Events *
Competitions held in November
Competitions Held in December
Competitions Held in January
Competitions held in February
Competitions held in March
Competitions held in April
Competitions held in May
Cheerleading Camps
Cheerleading Choreography
Tumbling Camps
Cheerleading Clinics

Medication And Allergies

I represent that any medication to which Minor is allergic or is currently taking are listed below. 

I agree that Minor shall bring medications which Minor is currently taking with him/her to the Event and that he/she shall consume the prescribed dosage.


Medications (if any)

Allergic to (if any)
Eighth Athlete Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Athlete Date of Birth*
Eighth Athlete Info

Team Name *
Events *
Competitions held in November
Competitions Held in December
Competitions Held in January
Competitions held in February
Competitions held in March
Competitions held in April
Competitions held in May
Cheerleading Camps
Cheerleading Choreography
Tumbling Camps
Cheerleading Clinics

Medication And Allergies

I represent that any medication to which Minor is allergic or is currently taking are listed below. 

I agree that Minor shall bring medications which Minor is currently taking with him/her to the Event and that he/she shall consume the prescribed dosage.


Medications (if any)

Allergic to (if any)
Ninth Athlete Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Athlete Date of Birth*
Ninth Athlete Info

Team Name *
Events *
Competitions held in November
Competitions Held in December
Competitions Held in January
Competitions held in February
Competitions held in March
Competitions held in April
Competitions held in May
Cheerleading Camps
Cheerleading Choreography
Tumbling Camps
Cheerleading Clinics

Medication And Allergies

I represent that any medication to which Minor is allergic or is currently taking are listed below. 

I agree that Minor shall bring medications which Minor is currently taking with him/her to the Event and that he/she shall consume the prescribed dosage.


Medications (if any)

Allergic to (if any)
Tenth Athlete Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Athlete Date of Birth*
Tenth Athlete Info

Team Name *
Events *
Competitions held in November
Competitions Held in December
Competitions Held in January
Competitions held in February
Competitions held in March
Competitions held in April
Competitions held in May
Cheerleading Camps
Cheerleading Choreography
Tumbling Camps
Cheerleading Clinics

Medication And Allergies

I represent that any medication to which Minor is allergic or is currently taking are listed below. 

I agree that Minor shall bring medications which Minor is currently taking with him/her to the Event and that he/she shall consume the prescribed dosage.


Medications (if any)

Allergic to (if any)
Athlete Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Info

Team Name *
Events *
Competitions held in November
Competitions Held in December
Competitions Held in January
Competitions held in February
Competitions held in March
Competitions held in April
Competitions held in May
Cheerleading Camps
Cheerleading Choreography
Tumbling Camps
Cheerleading Clinics

Medication And Allergies

I represent that any medication to which Minor is allergic or is currently taking are listed below. 

I agree that Minor shall bring medications which Minor is currently taking with him/her to the Event and that he/she shall consume the prescribed dosage.


Medications (if any)

Allergic to (if any)
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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