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Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement

Copy and paste the body of your waiver here.

Assumption of Risk

On behalf of myself and/or Participant, I understand that one of the risks of participating in any sport, including tumbling, cheerleading, and gymnastics-related activities, is the risk of injury, including but not limited to serious permanent injury, paralysis, and death. To minimize the risk of injury to my child and other participants, I agree myself and/or to instruct my child to obey all safety rules and any other rules, regulations or restrictions set forth by any of the individuals associated with the tumbling, cheerleading, and gymnastics-related activities. I further agree to instruct my child to fully report and/or disclose any occurrences, issues, or problems related to his/her health or physical condition to employees or coaches as soon as the problem arises or becomes noticeable.


By signing below, I certify the following:  

  1. I am authorized to execute this document and make decisions on behalf of myself and/or my child as his/her parent or legal guardian. 
  2. That I and/or my child are not currently under the care of a physician for an injury or illness that would prevent my and/or his/her safe participation in tumbling and gymnastics related activities; 
  3. That I and/or my child are not currently being treated for or recovering from orthopedic or other injuries that would prevent my and/or his/her safe participation in tumbling and gymnastics related activities; 
  4. That I and/or my child are not currently being treated for or recovering from a concussion or other concussion-related injury that would prevent my and/or his/her safe participation in tumbling, cheerleading, and gymnastics related activities; 
  5. That I and/or my child have no history of fainting or any other problems whatsoever related to strenuous exercise; and 
  6. That I and/or my child are in good health and that, to the best of my knowledge, there is no reason I and/or he/she cannot or should not participate in the kind of physical activity involved with camp participation. 
  7. That I hereby authorize Alliance Tumbling & Cheer LLC, including any of its employees, staff or agents, to obtain medical treatment for me or my child, as the same may be deemed reasonably necessary by any such parties. I understand in the event of a medical emergency, an EMS will be called to render assistance and that I will be financially responsible for any expenses involved. I request that in my absence my child be admitted to any hospital or medical facility for diagnosis and treatment, and I request and authorize physicians, dentists and staff, duly licensed as Doctors of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment to the above minor. 


Release and Waiver of Liability

In consideration for participant being allowed to participate in tumbling, cheerleading, and gymnastics related activities, participant and/or participant’s parent/guardian hereby agree to waive, release, indemnify, defend and hold harmless Alliance Tumbling & Cheer LLC and its manager(s) and member(s), owner(s), employees, agents, and affiliates, for myself, herself or himself and for my, her or his descendants, heirs, issue, successors, affiliates, and assigns, and any and all persons and entities claiming by, through, or under myself, her or him, from and against any damages, liability, claims, costs, fees, expenses, demands, charges, or grievances of any kind or nature whatsoever (without limitation, known or unknown, liquidated or unliquidated, including, but not limited to attorney fees and expenses which it may incur), whatsoever for and on account of any matter growing out of or in any way connected with the participant’s participation in activities under Alliance Tumbling & Cheer LLC’s direction, on Alliance Tumbling & Cheer LLC property, or using Alliance Tumbling & Cheer LLC property or facilities, or any activities incidental thereto, wherever, whenever or however the same may occur. 


Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Alliance Tumbling & Cheer LLC has put in place preventative measures to reduce the spread of COVID-19; however, Alliance Tumbling & Cheer LLC cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, programming hosted by Alliance Tumbling & Cheer LLC could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending programs hosted by Alliance Tumbling & Cheer LLC and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 from Alliance Tumbling & Cheer LLC programming may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Alliance Tumbling & Cheer LLC, employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance or participation in Alliance Tumbling & Cheer LLC programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Alliance Tumbling & Cheer LLC, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Alliance Tumbling & Cheer LLC, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Alliance Tumbling & Cheer LLC programming.


Media Release

I am aware that individual and group publicity photos and videos are taken from time to time and in consideration for my child(ren) I hereby grant my permission for my child(ren) to be used in “Alliance Tumbling & Cheer LLC” publicity and advertising.



First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
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*
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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*

Relationship*

Phone*
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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