Loading...

Cheerleading Techniques Academy, LLC

Liability & Release Form

Liability Waiver

In consideration for registration of my minor child (named on reverse side) to Cheerleading Techniques Academy, LLC. I do hereby agree to release, discharge and hold harmless, Victoria Vernier from all causes, liabilities, damages, claims or demands resulting from injury or accident involving said my minor child while attending or participating in the cheerleading lessons.

Photo Release

I authorize coach Victoria Vernier to photograph, videotape and/or audiotape my child in promotion of the Cheerleading Techniques with Tori instagram and Facebook page.

Cheerleading Techniques Academy, LLC

Rules and Regulations

GENERAL RULES

1. All athletes must be in proper cheerleading attire in order to work out at the facility. Please make sure you have an outfit that you can tumble, jump, etc in. For example, shorts and a t-shirt, spandex, tank tops, sports bra, leggings, etc. NO athlete will be able to participate if they do not have the required attire. Please have a pair of inside shoes or cheer shoes. You can also wear your socks.

2. Please make sure your hair is up and out of your face for your cheerleading lessons.

3. No outside shoes on the cheerleading mats.

4. No food or drink on the cheerleading mats.

5. Please keep all athletes belongings in the athletes designated room.

6. Parents are to stay in the upper loft area for ALL group classes if they want to stay. If you booked a private lesson, you may sit in the downstairs level with the coach and your child - if you chose to stay and watch.

7. Athletes must listen to all coaches and follow the rules they set in place during their lessons.

8. We have a 100% no bullying policy. No bullying will be tolerated.

9. Please keep the athletes room clean. Do not leave trash behind and clean up your messes prior to exiting the building.

FINANCIAL RULES

1. Please be sure to pay your monthly/weekly bills prior to your designated class time.

2. We will be taking attendance in each class in order to keep track of absences and make up classes.

3. Starting March 2025, if you have to cancel your athletes scheduled private lesson 48 hours prior to your lesson, there will be a $20 rebooking fee. This is going to be set in place as Tori is normally very booked out. Thank you in advance for understanding.

SIGNING ATHLETE UP

1. Please make sure you let coach Tori know if you would like to continue classes month to month and she can make sure to add your child into the desired classes.

Rules & Regulations Signature of Acceptance:

Today's date: April 27, 2026

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
Information
Participant’s Age:
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Participant’s Age:
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Participant’s Age:
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Participant’s Age:
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Participant’s Age:
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Participant’s Age:
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Participant’s Age:
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Participant’s Age:
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Participant’s Age:
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Participant’s Age:
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant
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*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Information
Participant’s Age:
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!