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Langley Cheer & Athletics is located at #307-19292-60th Avenue in Surrey. We offer a 30 x 54 foot custom sprung floor, 30 foot tumble track, a custom built Parkour and Ninja Warrior room, birthday party room and a beautiful front lobby where you can watch your students live while they practice their skills. Our coaches use a state of the art sound system that allows them to control the music from the gym floor and a projection TV system that enables coaches to record and play back practices, competitions and even more for the athletes. Come check us out today for a free gym tour, you won’t be disappointed.

 

Athletes should wear comfortable athletic clothing. NO chewing gum. Hair should be pulled neatly and securely away from the face so that is stays up for the entire workout. No jewelry including earrings. If they are new earrings or cannot be removed then they have to be taped over. All students should have activity-appropriate clean runners during class (cheer classes and parkour only, not necessary for tumbling). Personal items should be left in cubby holes. This facility's staff will not be responsible for ANY items that may be lost or stolen. Be sure your athlete’s personal items are marked with their name.

I Agree

As the legal guardian of my designated athlete(s), I hereby consent to all athlete(s) participating in this facility's program(s). I recognize that potentially severe injuries can occur in any activity involving height or motion, including tumbling and related activities including cheerleading, tumble tramp, trampoline, stunting, pyramids, parkour, gymnastics and physical activity in general. I understand that it is the express intent of all staff and personnel to provide for the safety and protection of my athlete(s) and, in consideration for allowing my athlete(s) to use these facilities, I hereby covenant not to sue and forever release this facility, affiliated and partner companies and organizations, property owners and lessors, staff, contractors, subcontractors, teachers, coaches, owners, directors and other members involved in this facility's program(s), from all liability and for any and all damages and injuries suffered by my student(s) during instruction, supervision, and/or control during any and all classes or extra activities. I also realize that Langley Cheer and Athletics is a social place, and allow my athlete(s) to be posted online doing skills / acheiving new skills.

I Agree
 

Date: December 16, 2018

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Athlete Suffer from the followings:
Asthma
Anxiety

Any extra Information:
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Athlete Suffer from the followings:
Asthma
Anxiety

Any extra Information:
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Athlete Suffer from the followings:
Asthma
Anxiety

Any extra Information:
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Athlete Suffer from the followings:
Asthma
Anxiety

Any extra Information:
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Athlete Suffer from the followings:
Asthma
Anxiety

Any extra Information:
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Athlete Suffer from the followings:
Asthma
Anxiety

Any extra Information:
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Athlete Suffer from the followings:
Asthma
Anxiety

Any extra Information:
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Athlete Suffer from the followings:
Asthma
Anxiety

Any extra Information:
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Athlete Suffer from the followings:
Asthma
Anxiety

Any extra Information:
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Athlete Suffer from the followings:
Asthma
Anxiety

Any extra Information:
Parent or Guardian's Email Address

Email*

Confirm Email*
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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*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Athlete Suffer from the followings:
Asthma
Anxiety

Any extra Information:
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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