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Unity Allstars Waiver

 

I, being the athlete (if 18yrs+) or the parent / legal guardian of the athlete(s) named below (if <18yrs) , hereby agree and consent that I / the athlete(s) may participate in activities offered by Unity Allstars. I recognise the risks involved when taking part in any activity involving height and motion, including cheerleading, tumbling and fitness. I accept that Unity Allstars, its staff and coaches are not responsible for determining whether I / the athlete(s) am/is fit to take part in said activities. I confirm that I / the athlete(s) am/is physically fit and healthy and I will advise Unity Allstars of any change. I declare that I consider that I / the athlete(s) am/is capable of taking part in cheerleading.

In signing this consent form I declare that I am aware of the element of risk involved and I understand and agree that Unity Allstars, its staff and coaches will not be held responsible for accidental loss, damage or injury to myself / the athlete(s) unless negligence can be proved.

I consent and authorise Unity Allstars and its staff and coaches to give the immediate necessary authority on my behalf for any medical treatment recommended by competent medical authorities in the case of emergency at any authorised event I / the athlete(s) am/is participating in or attending. Where I am the parent / legal guardian of the athlete(s), I further understand that every effort will be made to contact me. I will not hold Unity Allstars legally or financially responsible for any claims arising from consent and medical treatment for myself / the athlete(s).

I am aware that photographs and video footage may be taken during authorised events for coaching and promotional purposes. I give permission for myself / the athlete(s) to be photographed or video-taped during any authorised event, and give permission for such photographs and video to be used for the promotion of Unity Allstars activities and publicity, and the sport of cheerleading. I waive the right to approve any photographs or videos and understand that there will not be any compensation for the use of these photographs or videos.

I hereby agree with the above, and have read and fully understand these conditions and by signing below, agree to accept them.

COVID-19 and other seasonal illness 
If your child or anyone in your household is showing symptoms of coronavirus:

A high temperature 
A new, continuous cough
A loss of, or change to, their sense of smell or taste

Then you should not leave home and follow the NHS and PHE guidance on self-isolation. 
If you have to miss a session for a COVID-19 related reason, you can notify us by emailing natasha@unityallstars.com and make up the session at a later date. 

We also understand that this is the time of year where children may suffer from a range of seasonal illnesses.
If your child has: 

A Runny nose
Sore throat, without a temperature
Mild cold, without a temperature

These are NOT symptoms of COVID-19, however it is important that you make a sensible decision about whether your child is fit and able to take part in a session.  

Information for the parents
Please try and arrive no more than 5 minutes before the session to avoid over congestion at the gym.  

There is a one way system in place in David Weir. When you enter through reception please turn to the left to enter the gym. You will leave via the fire exit directly into the car park. Toilets and baby changing facilities are available however you must follow the one way system.

On arrival both parents and children will have their temperature checked and we request that you apply hand sanitizer (available in the gym).  The gym has been treated with an anti-microbial treatment which kills infection, and all equipment will be cleaned with an anti-viral anti-bac at the start and end of each session. 

Please do your utmost to observe social distancing rules.  We appreciate that young children don’t understand these and will run around the gym, however please do your best to socially distance yourselves from other adults during the class or open play. 

First Participant's Name

First Name*

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

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
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*
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.


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