Today's Date: October 16, 2018
This medical release form is applicable to all Liberty Cheer All-Star & Tumbling LLC classes and events.
Acknowledgement of Risk , Waiver of Liability, Medical Authorization
As in all athletic activities, there is an inherent risk to injury. I do herby on behalf of myself and my child, release and forever discharge Liberty Cheer ALL Stars & Tumbling LLC organization, hosting facility, its principals, partners, members,managers, employees, officers, contractors, consultants,advisors, volunteers and agents from all claims, demands, and causes of action for injury to persons or property arising from participating in the event/class. I also understand that first aid will be rendered and/or if necessary or instructed to do so, give my permission to take my child to such a place as may be necessary for proper care and treatment.I grant permission to any hospital or clinic staff member to administer immediate treatment if necessary.
By granting permission for my child to participate in on the above mentioned events or classes, I assume full responsibility for said participants personal safety and release the above mentioned hosts from any and all liabilities that may occur from injury, including death to said participant that may arise from participating in this event/practice. I understand that these activities can result in serious injury and disability. I assume all responsibility , waive any claim for compensation for accidental injury, disability or death while attending the event/class, and herby hold harmless the host company, staff and hosting facility. Additionally, I herby agree to individually provide for all future medical expenses which may be incurred by my child as a result of any injury sustained while participating at or for Liberty Cheer All Stars & Tumbling.
I have read and understand this document and agree that my child will follow the rules that pertain to the event/class. I further attest that and acknowledge that my child is in good physical health and physically able to participate. I understand that may child may be photographed, filmed, or videotaped during event/class. I give permission for video and or photographs of my child or myself to be used for promotional purposes for these events/classes.