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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.

 

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
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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