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2023/2024 Alpha Cheer and Tumbling Participant Waiver

RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT (hereinafter referred to as the “Release Agreement”)

BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT

PLEASE READ CAREFULLY!

IN CONSIDERATION of allowing myself and/or my minor child/ward to participate in the programme, related events and activities of the

ALPHA CHEER AND TUMBLING and its directors, officers, employees, instructors, guides, agents, representatives, independent contractors, subcontractors, suppliers, sponsors, successors, and assigns (all of whom are hereinafter referred as “the Releasees”)

 

I WARRANT THAT:

1.      I am either a) an adult over the age of 18 years, or b) I am a parent/guardian having full legal responsibility for decisions regarding my minor child/ward, and

2.      I am familiar with the risk of serious injury and death which any participant in this programme must assume, and

3.      a) I am or b) I believe that my minor child/ward is physically, emotionally and mentally able to participate in this programme and that his/her equipment is mechanically fit for his/ her use in this programme, and

4.      I understand, and/or will instruct my minor child/ward, that all applicable rules for participation must be followed and that at all times the sole responsibility for personal safety remains with myself and my minor child/ward, and

5.      I will immediately remove myself and/or minor child/ward from participation, and notify the nearest coach or staff member, if at any time I sense or observe any unusual hazard or unsafe condition or if I feel that myself or my minor child/ward has experienced any deterioration in his/her physical, emotional or mental fitness for continued participation in the programme.

 

I UNDERSTAND AND AGREE, ON BEHALF OF MY MINOR CHILD/WARD, MYSELF, MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN, THAT MY EXECUTION OF THIS DOCUMENT CONSTITUTES:

 

1.          an unqualified ASSUMPTION OF ALL RISKS associated with participation in this programme by myself and/or my minor child/ward even if arising from negligence, or gross negligence, including any compounding or aggravation of injuries caused by negligent rescue operations or procedures, of the programme organizer and any persons associated therewith or participating therein, and

2.          a FULL AND FINAL RELEASE AND WAIVER OF LIABILITY of the programme organizer and all persons and organizations associated with it and the programme including, without limiting the generality of the foregoing, its officers, directors, officials, agents and/or employees, other participants, sponsors, advertisers, owners and/ or lessors of the premises used to conduct the programme, sanctioning bodies, medical or rescue personnel (the RELEASEES), of and from with the respect to all injury, disability, death or loss or damage to person or property whether arising from the negligence, or negligent rescue of or by the foregoing or otherwise, and

3.          an UNDERSTANDING NOT TO SUE the RELEASEES for any loss, injury, costs or damages of any form or type, howsoever caused or arising, and whether directly or indirectly from the participation of myself and/or my minor child/ward in the programme, and

4.          an AGREEMENT TO INDEMNIFY, and to SAVE and HOLD HARMLESS the RELEASEES, and each of them, from any litigation expense, legal fees, liability, damage, award or cost, of any form or type whatsoever, they may incur due to any claim made against them or any one of them whether the claim is based on the negligence or the gross negligence of the RELEASEES or otherwise.

5. Emergency Transport and Care. I authorize and agree to pay any expense incurred for emergency transport or treatment for the Participant.

6. Authorization for Photo/Video Use & use of contact info. I authorize Alpha Cheer and Tumbling Inc. to use photographs, video recordings or any other likeness of myself / the Participant in its promotional or sales materials, advertisements, web site, Facebook, and I hereby waive any right to compensation or any claim of ownership thereto.


Medical Authorization 

In the case that I / the Participant sustains an injury or medical emergency during activities relating to the Activities, I authorize the owners, directors, staff, or other associated representative of Alpha Cheer and Tumbling Inc. to act for me / the Participant, according to their judgement, seeking immediate treatment and / or the necessary emergency care for me / the Participant. This authorization DOES NOT require a prior determination of a threat to my / the Participant’s life or a danger of serious permanent injury. I hereby hold the owners, directors, staff or other associated representatives of Alpha Cheer and Tumbling Inc. harmless in the exercise of this authority. 

I HAVE READ THIS DOCUMENT THOROUGHLY.

I UNDERSTAND THAT THE RELEASEES ARE RELYING UPON MY WARRANTIES, ASSUMPTIONS, WAIVER AND RELEASE, UNDERTAKINGS AND AGREEMENTS WHEN ACCEPTING MY AND/OR MY MINOR CHILD'S/WARD'S PARTICIPATION IN THIS PROGRAMME.

I UNDERSTAND THAT BY SIGNING THIS DOCUMENT I GIVE UP SUBSTANTIAL LEGAL RIGHTS I AND/ OR MY MINOR CHILD/WARD WOULD OTHERWISE HAVE.

I Agree
 

I SIGN THIS DOCUMENT VOLUNTARILY AND WITHOUT INDUCEMENT.



Please select who will be participating...
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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Medically Important allergies, injuries, pre-existing or orthopaedic conditions:*
None
Yes - please include details below

Medically important allergies, injuries, pre-existing or orthopaedic conditions:

Emergency Contact First Name: *

Emergency Contact Last Name: *

Emergency Contact Mobile Phone Number: *
Emergency Contact Relationship to Participant:*
First Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
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:*
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
Medically Important allergies, injuries, pre-existing or orthopaedic conditions:*
None
Yes - please include details below

Medically important allergies, injuries, pre-existing or orthopaedic conditions:

Emergency Contact First Name: *

Emergency Contact Last Name: *

Emergency Contact Mobile Phone Number: *
Emergency Contact Relationship to Participant:*
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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