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Halifax Cheer Elite Wavier Form and Release

I do hereby acknowledge that I intend to participate in one or more athletic endeavours while taking classes, lessons, and practising with the coaches and/or instructors with Halifax Cheer Elite and I am doing so of my free will.


I acknowledge that the coaches / staff will behave prudently in the instruction of cheerleading / tumbling skills in an effort to avoid injuries and / or accidents from occurring. I realize that participating in athletic endeavours entails the risk of injury to the participants. I accept this risk regardless of the nature of the injury and / or the athletic endeavour in which I participate.


I acknowledge that the term athletic endeavour as used herein includes any cheerleading activity including warm ups, cool downs, drills, stunts, jumps, choreography, dance, tumbling, gymnastics and training of any kind.

 

I also waive and absolve Halifax Cheer Elite, the coaches, advisors, sponsors, parent  volunteers or other volunteers, the staff and/or volunteers of any venue in which we practice and perform, or any more of them or their executors, administrators, heirs, next of kin, successors or assigns, of and from any or all liability and responsibility for injuries, sickness, accidents, death and/or natural occurrences during participation by myself in practices, camps, clinics, classes, lessons, private coaching, choreography, and any other athletic endeavour.


 I understand that participants of any cheerleading activities are responsible for his or her own personal health, medical, dental, chiropractic, and accidental Insurance coverage. MSI coverage and a recent medical are strongly urged.


I, intending to be legally bound, do hereby, my heirs, executors, Administration, waive, release and forever discharge any and all rights for claims for damage which I may or may hereafter accrue to myself against Halifax Cheer Elite, the staff, the coaches, advisors, sponsors, parent volunteers, or other volunteers, the staff/or volunteers of any of the venues which we practice or perform, for any damages which may be sustained or suffered by myself or my family in connection with my association with or participation in, or arising out of any participation in any athletic endeavour and cheerleading activity with Halifax Cheer Elite. 



First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

First Name*

Last 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.


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*

Middle Name

Last Name*
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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