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MINOR ATHLETE ACKNOWLEDGEMENT OF
RISKS AND RESPONSIBILITIES

-- AND --

WARRANTY AND CONSENT OF PARENT/GUARDIAN
ASSUMPTION OF RISK RELEASE, MEDIA RELEASE AND
WAIVER OF LIABILITY INDEMNITY AGREEMENT

MINOR'S ACKNOWLEDGEMENT OF RISKS AND RESPONSIBILITIES

I,

, wish to participate in the cheerleading programs and related events and activities offered by Cheerleading Canada and the Cheer Canada National Team Program (CCNTP)

I UNDERSTAND AND AGREE WITH THE FOLLOWING STATEMENTS:

  • The activities involved in this programme are dangerous. I risk the chance of serious injury or death through my participation.
     
  • My parents and I believe that I am physically, emotionally and mentally able to fully participate in this programme and as such have given their unqualified permission for me to take part.
     
  • I am familiar with, and will follow, all the applicable rules for participation in this programme.
     
  • My equipment is mechanically fit and suitable for my use in this programme.
     
  • I understand that at all times during my participation in this programme, I have sole responsibility for my safety.
     
  • If, during the course of my participation in this programme:
    • I learn or become aware, of a change in my health, physical, emotional or mental condition, or 
    • I feel unsafe or threatened for any reason, or
    • I notice anything unsafe about the programme,

                 --->  I WILL IMMEDIATELY STOP PARTICIPATING and INFORM THE NEAREST COACH or OFFICIAL.

  • I am willing to accept all risk of being hurt or killed in this programme, both known and unknown, and to take full responsibility for my actions and behaviour.
     
  • I HAVE READ THIS STATEMENT OF RISKS AND RESPONSIBILITIES - I UNDERSTAND AND AGREE WITH WHAT I HAVE READ - AND I CHOOSE TO SIGN IT.

 

WARRANTY AND CONSENT OF PARENT/GUARDIAN
ASSUMPTION OF RISK RELEASE, MEDIA RELEASE AND WAIVER OF LIABILITY INDEMNITY AGREEMENT

IN CONSIDERATION of allowing my minor child/ward to participate in cheerleading programs and related events and activities offered by Cheerleading Canada and the Cheer Canada National Team Program (CCNTP)

I WARRANT TO YOU THAT:

  • I am a parent/guardian having full legal responsibility for decisions regarding my minor child/ward, and
     
  • I am familiar with the risk of serious injury and death which any participant in this program must assume, and
     
  • I believe that my minor child/ward is physically, emotionally and mentally able to participate in this program, and that his/her equipment is mechanically fit for his/ her use in this program, and
     
  • I understand, and will instruct my minor child/ward, that all applicable rules for participation must be followed and that at all times the sole responsibility for personal safety remains with my minor child/ward, and
     
  • I will immediately remove my minor child/ward from participation, and notify the nearest official, if at any time I sense or observe any unusual hazard or unsafe condition or if I feel that my minor child/ward has experienced any deterioration in his/her physical, emotional or mental fitness for continued participation in the program

Permission is granted to use my son/daughter’s picture or image in any or all future advertisements, broadcasting, website, social media, and marketing literature or promotional videos for Cheerleading Canada National Team Program / Team Canada Cheer and/or any events sponsored by them.

I UNDERSTAND AND AGREE, ON BEHALF OF MY MINOR CHILD/WARD, MYSELF, MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN, THAT MY EXECUTION OF THIS DOCUMENT CONSTITUTES:

  • An unqualified ASSUMPTION OF ALL RISKS associated with participation in this program by my minor child/ward even if arising from negligence, or gross negligence, including any compounding or aggravation of injuries caused by negligent rescue operations or procedures, of the program organizer and any persons associated therewith or participating therein, and
     
  • A FULL AND FINAL RELEASE AND WAIVER OF LIABILITY of the program organizer and all persons and organizations associated with it and the program including, without limiting the generality of the foregoing, its officers, directors, officials, agents and/or employees, coaches, administrators, other participants, sponsors, advertisers, owners and/ or lessors of the premises used to conduct the programme, sanctioning bodies, medical or rescue personnel (the RELEASEES), of and from with the respect to all injury, disability, death or loss or damage to person or property whether arising from the negligence, or negligent rescue of or by the foregoing or otherwise, and
     
  • An UNDERSTANDING NOT TO SUE the RELEASEES for any loss, injury, costs or damages of any form or type, howsoever caused or arising, and whether directly or indirectly from the participation of my minor child/ward in the program, and
     
  • An AGREEMENT TO INDEMNIFY, and to SAVE and HOLD HARMLESS the RELEASEES, and each of them, from any litigation expense, legal fees, liability, damage, award or cost, of any form or type whatsoever, they may incur due to any claim made against them or any one of them whether the claim is based on the negligence or the gross negligence of the RELEASEES or otherwise.

I HAVE READ THIS DOCUMENT THOROUGHLY.

I UNDERSTAND THAT THE RELEASEES ARE RELYING UPON MY WARRANTIES, ASSUMPTIONS, WAIVER AND RELEASE, UNDERTAKINGS AND AGREEMENTS WHEN ACCEPTING MY MINOR CHILD'S/WARD'S PARTICIPATION IN THIS PROGRAMME.

I UNDERSTAND THAT BY SIGNING THIS DOCUMENT I GIVE UP SUBSTANTIAL LEGAL RIGHTS I AND/ OR MY MINOR CHILD/WARD WOULD OTHERWISE HAVE.

I SIGN THIS DOCUMENT VOLUNTARILY AND WITHOUT INDUCEMENT.

 

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First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Participant's 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*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Minor's Health Card Number:

Minors Health Card Number:
Please list below any medication to which your son or daughter is allergic, or any previous medical conditions that could impair their performance, any current allergies or any medication that are currently being taken:

Please list medication
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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
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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