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PARTICIPANT AGREEMENT AND ASSUMPTION OF RISK

In consideration of athlete’s participation in the services of Rockstar Cheer Jacksonville and its board members, coaches, owners, officers, employees, and all other persons or entities acting on its behalf, I hereby agree to release and discharge Rockstar Cheer Jacksonville, on behalf of myself, my children, my parents, my heirs, assigns, personal representative and estate as follows: 

YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF “ROCKSTAR CHEER JACKSONVILLE” USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM, YOU ARE GIVING UP YOUR 

CHILD’S RIGHT AND ALL RIGHTS OF OTHERS TO RECOVER FROM “ROCKSTAR CHEER JAX” IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND “ROCKSTAR CHEER JACKSONVILLE” HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.  

Should Rockstar Cheer Jacksonville or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs. 

I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that neither I, nor my child has any mental or physical conditions which may interfere with the safety of this activity, or else I am willing to assume and bear the cost of all risks that may be related, directly or indirectly, by any such condition.  In case of an emergency requiring medical treatment, the undersigned hereby authorizes Rockstar Cheer Jacksonville to take the above-named athlete to a qualified medical facility or hospital for care and treatment. 

I understand and acknowledge that the activity my child is about to engage in poses known risks and unanticipated risks which could result in injury, paralysis, death, emotional distress, or damage to my child, to property, or to third parties. The following describes some, but not all, of those risks: Gymnastics and cheerleading entails certain risks that simply cannot be eliminated without jeopardizing the essential qualities of the activity. Without a certain degree of risk, gymnastics and cheerleading students would not improve their skills, and the enjoyment of the sport would be diminished. Gymnastics and cheerleading exposes its participants to the usual risk of cuts and bruises. Other more serious risks exist as well. Participants often fall off equipment, sprain or break wrists and ankles, and can suffer more serious injuries as well. Traveling to and from shows, competitions and exhibitions raise the possibility of any manner of transportation accidents. In any event, if your child is injured, your child may require medical assistance, at your own expense. 

I expressly agree and promise to accept and assume all the risks existing in this activity. My participation in this activity and use of the equipment is purely voluntary.  Neither I, nor my child, have been forced to participate. I elect to participate despite the risks. 

I hereby voluntarily release, forever discharge and agree to hold Rockstar Cheer Jacksonville harmless and indemnify from all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with me child's participation in this activity. 

Should Rockstar Cheer Jacksonville or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and reimburse them for such fees and costs. 

If I file a lawsuit against Rockstar Cheer Jacksonville, I agree to do so solely in the state of Florida, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my or my child’s participation in any activity relating to Rockstar Cheer Jacksonville, I may be found by a court of law to have waived my right to maintain a lawsuit against Rockstar Cheer Jacksonville on the basis of any claim from which I have released them herein.  I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms. 

Date: October 21, 2019

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*
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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