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TEXAS ALLSTAR CHEER
(ALLSTAR CHEER & DANCE OF TEXAS, INC.)

Parental Permission / Release of All Claims / Consent to Medical Treatment
BIRTHDAY PARTIES

Please read and sign the following:

I/we the parent(s)/guardian(s) of the above mentioned Participant (whether one or more) do hereby grant permission for the Participant to participate in any and all cheerleading, tumbling, dance and/or other physical activities (whether one or more, “activities”) while a participant at TEXAS ALLSTAR CHEER, whether at or away from the training facility of TEXAS ALLSTAR CHEER (address set forth below - “training facility”). I/we represent that the Participant is physically able to participate in the activities without limitations. I/we acknowledge and agree it is my/our responsibility to promptly inform TEXAS ALLSTAR CHEER in writing of any health updates regarding the Participant throughout the year.

I/we give TEXAS ALLSTAR CHEER the right and permission to film, photograph, or videotape my/our Participant or me/us for any reproductions associated or in any way connected with TEXAS ALLSTAR CHEER (including any form of advertisement or promotional purposes).

The Participant will be coached, instructed and conditioned to compete at the peak of his/her ability. Along with competition and effort to acquire excellence is the reality of possible injury. I/we understand that there is personal risk involved in any activity that includes motion or height and that these activities can result in SEVERE INJURIES, DISABILITY OR EVEN DEATH. I/we, the Participant or parent(s)/guardian(s) of the Participant are assuming full responsibility for the Participant’s personal safety and I/we do hereby release and hold harmless TEXAS ALLSTAR CHEER, its employees, supervisors, instructors (whether paid or volunteer), agents, invitees, employees, officers, directors and shareholders from any and all claims, demands, actions, expenses (including attorney’s fees, threatened or incurred), judgments, executions and liabilities that may occur from any injury, accident and/or incident (known or unknown), including death to the Participant, that may arise as a result of the Participant’s attendance at the training facility or as a result of the Participant’s participation in TEXAS ALLSTAR CHEER activities, or otherwise, and regardless of any negligence on the part of TEXAS ALLSTAR CHEER.

I/we further authorize a representative of TEXAS ALLSTAR CHEER to consent to medical treatment of the Participant in the event of an emergency while at or away from the training facility. I/we give permission for TEXAS ALLSTAR CHEER to give my/our Participant first aid and to arrange for transportation to a hospital and receive emergency medical treatment. I/we will assume all costs for such medical care.

Today's date: June 13, 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*
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*
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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