Loading...

The Royal Heartland Championships LLC, WAIVER OF LIABILITY, INDEMNIFICATION, ASSUMPTION OF THE RISK, AUTHORIZATION 2025-2026

TO CONTACT EMERGENCY MEDICAL ASSISTANCE and PRESS RELEASE FORM

Every participant must have a completed and signed Liability Release & Waiver Form.

I. Liability Release, Indemnification, and Assumption of Risk

As an individual over the age of 18 or as the parent or legal guardian of the above-listed child, I freely acknowledge that I have or will voluntarily register (myself/my child) to participate in cheerleading and dance activities held by The Royal Heartland Championships LLC (hereinafter "Event Producer”), which include dance, gymnastics, stunting, jumping, and tumbling components. I acknowledge that (my/my child’s) participation in cheerleading and dance activities entails known and unanticipated risks that could result in serious and permanent physical and emotional injuries to (myself/my child), (myself/my child’s) death, damage to property, and injury to others. I understand that such risks are inherent in these activities and that even with precautions and safety measures they cannot be eliminated without jeopardizing the essential qualities of the activities. I also understand and acknowledge that injuries (I/my child) receive(s) may be compounded or increased by negligent rescue operations and as such, I understand that other than telephoning for an ambulance, no medical assistance shall be provided by the Event Producer member, its’ agents, staff or other representatives in the event an injury occurs during the event. Understanding such dangers, I hereby knowingly and voluntarily enroll (myself/my child) in events held by Event Producers. I give my permission for my child to engage in the dangerous activities described above, and I assume the risk of the activities involving my child. I understand that (I do not/my child does not) have permission to participate in cheerleading and dance activities at an event held by Event Producer without agreeing to the terms and conditions on this release. I understand that this Form is effective for all events held by Event Producer for a twelve-month period of time ending August 31, 2026 (“effective period”). I understand that this release and waiver of liability shall continue to be in effect during the above stated effective period until such time as I renounce it, in writing, at which time (I/my child) shall no longer be able to participate in any event held by Event Producer during the effective period.

II. Venue/Facility Rules and Compliance

I hereby agree to and shall adhere to all rules, regulations, and safety requirements imposed by the Event Producer and by the operators or owners of any venue or facility where an event is held. This includes, but is not limited to, restrictions on access to practice/warm-up areas, emergency and evacuation procedures, and any facility-specific safety mandates. I understand that failure to comply with these rules may result in immediate dismissal from the event without refund.

III. Medical Waiver and Authorization to Contact Emergency Medical Assistance

I represent that (I/my child) is in good health and that no condition of (mine/my child’s) would constrain (me/my child) from safely participating in the activities described above. I understand that failure to provide information of any health condition that would constrain (me/my child) from participating could result in serious injuries or death to (me/my child). I certify that I have adequate insurance to cover any injury or damage that (I/my child) may suffer while participating in an event held by Event Producer. I agree to bear the costs of any injury or damages (I/my child) may suffer while participating in any event held by Event Producer. I hereby authorize Event Producer to call for medical care for (me/my child) if in the opinion of such personnel or (my/my child’s) coach when medical attention is needed.

IV. Release, Indemnification, and Covenants

On behalf of (myself/my child and myself), I hereby knowingly and voluntarily release and forever discharge Event Producer if (I/my child) is injured, all Event Producer, all their respective, employees, agents, coaches, instructors, assistants, officers, directors, owners, shareholders, subcontractors, and any other representative or affiliates and their respective heirs, successors, and assigns (collectively with Event Producer, "Event Producer Representatives") from any and all liability arising out of or in connection with the above-described activities involving (myself/my child) at any and every event held by Event Producer. “Liability” means any and all claims, demands, losses, causes of action, lawsuits or judgments of any and every kind that occurs during or incidental to the above-described activities, that result from any cause whether caused by the negligence or otherwise.

I hereby agree to and shall indemnify, defend, save and hold harmless Event Producer Representatives from and against any and all loss, liability, damage, or cost they may incur, including attorneys’ fees and litigation costs, arising out of or related to the above-described activities, whether caused by negligence or otherwise. I hereby agree that the assumption of risk, the release and waiver of liability, and the indemnity agreements contained herein extend to all acts of negligence.

V. Code of Conduct and Sportsmanship

I, the parent/guardian and the participant, understand and agree to adhere to all rules, policies, and standards of conduct established by the Event Producer. This includes, but is not limited to, demonstrating good sportsmanship, treating event staff, officials, athletes, and spectators with respect, and refraining from any disruptive or abusive behavior. I understand that the Event Producer reserves the right to immediately eject any participant, coach, parent, or spectator from the event premises for violation of this Code of Conduct, with no refund of fees or admission costs.

VI. Appearance Waiver and Press Release

I give Event Producer Representative the right to photograph or videotape (me/my child), or likeness of (me/my child), and to disseminate any images or recordings of (me/my child) for any reproductions associated or in any way connected with marketing, advertising, publication or marketing of any event undertaken by Event Producer and Event Producer Representatives. Specifically, I hereby forever and irrevocably grant to Event Producer and Event Producer Representatives a license and permission to use any such photographic or video reproduction of (me/my child) in any form of advertisement for Event Producer or any of its members for promotional purposes. I understand that no compensation will be paid by Event Producer or an Event Producer Representative for the use of any photographic or video reproduction of (me/my child).

VII. Governing Law and Severability Clause (Enhanced)

I hereby agree that the assumption of risk, the release and waiver of liability, and the indemnity agreements contained herein are intended to be as broad and inclusive as is permitted by the law of Indiana and any other state whose laws apply to the activities. I agree that if any provision of this Form is found to be invalid or unenforceable, the remaining provisions shall remain in full force and effect, and the invalid or unenforceable provision shall be deemed modified to the minimum extent necessary to make it valid and enforceable.

BY SIGNING THIS FORM, I REPRESENT THAT I HAVE READ THIS FORM THOROUGHLY AND UNDERSTAND IT COMPLETELY, INCLUDING THE SUBSTANTIAL LEGAL RIGHTS I AM GIVING UP FOR (MYSELF/MY CHILD AND MYSELF) BY SIGNING IT. I HAVE HAD THE OPPORTUNITY TO HAVE MY OWN ATTORNEY REVIEW THIS FORM AND MY ATTORNEY HAS DONE SO OR I HAVE KNOWINGLY AND VOLUNTARILY CHOSEN NOT TO HAVE MY ATTORNEY REVIEW THIS FORM. I HAVE SIGNED THIS FORM FREELY AND VOLUNTARILY WITHOUT INDUCEMENT OF ANY KIND OR GUARANTEE BEING MADE.



"Event Producer" is The Royal Heartland Championships LLC.


I INTEND BY MY SIGNATURE FOR THIS FORM TO BE A COMPLETE AND UNCONDITIONAL WAIVER AND RELEASE OF ANY AND ALL LIABILITY TO THE


GREATEST EXTENT ALLOWED BY LAW. I UNDERSTAND AND AGREE THAT THIS FORM CANNOT BE AMENDED OR MODIFIED BY ANY ORAL STATEMENTS


OR OTHER WRITINGS AND THAT IT IS BINDING ON (ME/MY CHILD AND MYSELF), AND OUR HEIRS, SUCCESSORS, DISTRIBUTEES, GUARDIANS, LEGAL


REPRESENTATIVES, AND ASSIGNS.



First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
GYM NAME
GYM NAME*
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*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!