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Canadian Cheer Company 

Gym Attestation 

2024-2025

The undersigned, as owner and operator of a gym or as the principal of a participating school (hereinafter referred to collectively as the “Organization(s)”), acknowledges and attests to “Canadian Cheer” (comprised of 7666705 Canada Inc., 6763201 Canada Inc., and 10892262 Canada Inc. and each of their respective directors, officers, employees, sub-contractors, agents, representatives, affiliates, subsidiaries, related companies, successors, and assigns) that the undersigned has conducted a Vulnerable Sector Check on each of the coaches or representatives of the Organization (hereinafter referred to collectively as the “Coach(es)”), who will be participating in the applicable 2024-2025 Canadian Cheer event (the “Canadian Cheer Event”).


The undersigned hereby confirms that such Vulnerable Sector Check does not reveal: (i) any criminal activity, (ii) any ineligibility of a Coach to attend and participate in the Canadian Cheer Event, (iii) anything that would preclude a Coach from being in the physical presence of and in close proximity to minors, or (iv) anything else that could be of concern and to an event convener and operator.

The undersigned further attests that all persons listed on the submitted roster of Coaches for the Canadian Cheer Event are not currently under suspension by Cheer Canada, the recognized National Sports Organization (NSO) for cheerleading in Canada, or by any specific Provincial or Territorial Sports Organization (PTSO) for any reason.

The undersigned agrees, on behalf of the undersigned and the Organization, to defend, indemnify and hold Canadian Cheer harmless from any and all claims, demands, actions and proceedings related to any claim made against Canadian Cheer, including for alleged negligence, willful misconduct or misrepresentation, which relates to or is based upon any of the information represented and attested to herein.

By signing this attestation, the undersigned acknowledges that Canadian Cheer is relying on this attestation to allow the Organization’s Coaches to attend and participate in the Canadian Cheer Event. I hereby acknowledge that I have the authority to bind the organization and agree to the above attestation relating to the coaches listed on our coaches roster for the Canadian Cheer event


First Gym Owner's Name

First Name*

Last Name*

Phone*
First Gym Owner's Date of Birth*
First Gym Owner's Information

Please provide a list of all coaches, administrative staff, and volunteers associated with your organization who will be present at Canadian cheer events. (Ex: FirstName LastName,FirstName LastName,) *
First Gym Owner's Signature*
Second Gym Owner's Name

First Name*

Last Name*
Second Gym Owner's Date of Birth*
Second Gym Owner's Information

Please provide a list of all coaches, administrative staff, and volunteers associated with your organization who will be present at Canadian cheer events. (Ex: FirstName LastName,FirstName LastName,) *
Third Gym Owner's Name

First Name*

Last Name*
Third Gym Owner's Date of Birth*
Third Gym Owner's Information

Please provide a list of all coaches, administrative staff, and volunteers associated with your organization who will be present at Canadian cheer events. (Ex: FirstName LastName,FirstName LastName,) *
Fourth Gym Owner's Name

First Name*

Last Name*
Fourth Gym Owner's Date of Birth*
Fourth Gym Owner's Information

Please provide a list of all coaches, administrative staff, and volunteers associated with your organization who will be present at Canadian cheer events. (Ex: FirstName LastName,FirstName LastName,) *
Fifth Gym Owner's Name

First Name*

Last Name*
Fifth Gym Owner's Date of Birth*
Fifth Gym Owner's Information

Please provide a list of all coaches, administrative staff, and volunteers associated with your organization who will be present at Canadian cheer events. (Ex: FirstName LastName,FirstName LastName,) *
Sixth Gym Owner's Name

First Name*

Last Name*
Sixth Gym Owner's Date of Birth*
Sixth Gym Owner's Information

Please provide a list of all coaches, administrative staff, and volunteers associated with your organization who will be present at Canadian cheer events. (Ex: FirstName LastName,FirstName LastName,) *
Seventh Gym Owner's Name

First Name*

Last Name*
Seventh Gym Owner's Date of Birth*
Seventh Gym Owner's Information

Please provide a list of all coaches, administrative staff, and volunteers associated with your organization who will be present at Canadian cheer events. (Ex: FirstName LastName,FirstName LastName,) *
Eighth Gym Owner's Name

First Name*

Last Name*
Eighth Gym Owner's Date of Birth*
Eighth Gym Owner's Information

Please provide a list of all coaches, administrative staff, and volunteers associated with your organization who will be present at Canadian cheer events. (Ex: FirstName LastName,FirstName LastName,) *
Ninth Gym Owner's Name

First Name*

Last Name*
Ninth Gym Owner's Date of Birth*
Ninth Gym Owner's Information

Please provide a list of all coaches, administrative staff, and volunteers associated with your organization who will be present at Canadian cheer events. (Ex: FirstName LastName,FirstName LastName,) *
Tenth Gym Owner's Name

First Name*

Last Name*
Tenth Gym Owner's Date of Birth*
Tenth Gym Owner's Information

Please provide a list of all coaches, administrative staff, and volunteers associated with your organization who will be present at Canadian cheer events. (Ex: FirstName LastName,FirstName LastName,) *
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 Date of Birth*
Parent or Guardian's Information

Please provide a list of all coaches, administrative staff, and volunteers associated with your organization who will be present at Canadian cheer events. (Ex: FirstName LastName,FirstName LastName,) *
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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