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I understand that there are risks of physical injury associated with, arising out of and inherent to the activity or cheerleading/tumbling/dance. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all rights and/or causes of action of any kind, including all claims of negligence, arising as a result of such activity from which liability could accrue to Champion All-Stars LLC, its officers, agents, employees, instructors, owners and all affiliated entities. I hereby agree to release Champion All-stars LLC and hold them harmless of all liability, and agree to pay reasonable attorney’s fees and costs incurred by Champion All-Stars LLC in Defending such action. Further hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in the cheerleading/tumbling/ dance on behalf of the participant. I am aware that this is a release of liability and acknowledge  of my voluntary and knowing assumption of risk of injury. I have signed this document voluntarily and of my own fee will in exchange for the privilege of participation. IF I am a minor, my parent and/or legal guardian has signed this document releasing Champion All-Stars LLC from any and all such liability described above and has acknowledged that I am knowingly and voluntarily assuming all risk of injury inherent to this activity. The student named above has my permission to attend Champion All-Star classes. I warrant the above information in complete and correct. I hereby authorize the Champion Allstars LLC owners to act in my behalf to provide emergency medical treatment. I further release Champion All-Stars of all liabilities associated with my child’s attendance at Champion All-Stars gym/facilities, and agree to the terms stated above.

 

The student named above has my permission to attend Champion All-Stars open gym. I warrant the above information is complete and correct. I hereby authorize the Champion All-Stars owners to act in my behalf to provide emergency medical treatment. I further release Champion All-Stars of all liabilities associated with my child’s attendance at Champion All-Stars gym/facility. 


Today's Date: October 9, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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:*
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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