Roit Xtreme Cheer Liability Release Waiver

I acknowledge and fully understand that I and/or my child will be engaging in activates that involve risk of serious physical or emotional injury which may include but not limited to sprained or torn ligaments, broken bones, paralysis, death or other bodily injury or property damage to my child or to third parties.

I understand that such risks might result not only from I and/or my child's actions, but also from the action, inaction, or negligence of others, the rules of play, the condition of the premises, or any equipment used, and further that there may be risks not known to me or not reasonably foreseeable. I expressly agree and promise to accept and assume all the risks of injury (minimal, serious, catastrophic and/ or death), which may occur, in connection with participation in activities related to Riot Xtreme Cheer.

If and/or my child is injured, I acknowledge that the injury may require medical assistance, which I acknowledge will be at my own expense or the expense of my personal insurer(s). I understand and agree that Riot Xtreme Cheer will not pay for any cost or expenses incurred if I and/or my child are injured.

I hereby voluntary release, forever discharge, waive all rights and agree to defend, indemnify, and hold harmless Riot Xtreme Cheer from any and all claims, judgement, loss, liability, cost and expenses (including, without limitations attorney's fees and costs), demands, causes of action which are in any way connected with I and/or my child's participation with Riot Xtreme Cheer's activities or the use of Riot Xtreme Cheer's equipment or facilities including, but not limited to, any such claims based upon damages caused or alleged to have been caused in whole or in part by the negligent acts or omissions of Riot Xtreme Cheer.

I certify that my child is physically capable to participate in any and all programs, practices, events, classes, training and other activities offered by Riot Xtreme Cheer. I further certify that I am willing to assume the risk of any medical or physical condition that they may have.

I consent to emergency medical care and transportation in order to obtain treatment in the event of injury to I and/or my child as seen appropriate by Riot Xtreme Cheer. This Release extends to any liability arising out of or in any way connected to the medical treatment and transportation provided in the event of an emergency.

I future agree that if, despite this release, waiver of liability and assumption of risk I, participant(s), or anyone on my behalf, makes a claim against any of the Releases, I and participant(s) will indemnify, save, and hold harmless each of the Releases from any loss, liability, damage or cost, which any may incur as the result of such claim.

I give permission for I and/or my child to be transported by Riot Xtreme Cheer transportation vehicles for field trips or to and from practice, competitions or school.

I understand the nature of these activities, the experience, and capabilities and believe I and/or my child to be qualified, in good health, and in proper physical condition to participate in such activity. 

I Agree

December 9, 2019

First Athlete Name

First Name*

Last Name*
First Athlete Date of Birth*
I certify that I am 18 years of age or older
First Athlete Signature*
Second Athlete Name

First Name*

Last Name*
Second Athlete Date of Birth*
Third Athlete Name

First Name*

Last Name*
Third Athlete Date of Birth*
Fourth Athlete Name

First Name*

Last Name*
Fourth Athlete Date of Birth*
Fifth Athlete Name

First Name*

Last Name*
Fifth Athlete Date of Birth*
Sixth Athlete Name

First Name*

Last Name*
Sixth Athlete Date of Birth*
Seventh Athlete Name

First Name*

Last Name*
Seventh Athlete Date of Birth*
Eighth Athlete Name

First Name*

Last Name*
Eighth Athlete Date of Birth*
Ninth Athlete Name

First Name*

Last Name*
Ninth Athlete Date of Birth*
Tenth Athlete Name

First Name*

Last Name*
Tenth Athlete Date of Birth*
Athlete Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Parent or Guardian's Email Address


Confirm Email*
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*

Last Name*

Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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.

One or more problems exist. Please scroll up.

Powered by  Smartwaiver