Professional Documents
Culture Documents
2011 Tryouts
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Grade (going into Aug. 2011)
________________________________________________
Name
_________________________________________________
Parent(Mom)/Guardian
_________________________________ ____________________________________
Participant email address Parent(Mom)/Guardian email address
PLEASE READ AGREEMENT AND EXPECTATIONS, ONLY SIGN UPON ACCEPTANCE AND AGREEMENT
OF THESE TERMS. Cheerleaders cannot try out without the following signatures.
Signed: __________________________________________Date:___________________
Prospective Cheerleader
Signed: _________________________________________Date______________________
Parent/Guardian
EMERGENCY/RELEASE FORM
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Participant’s name: _________________________________________________
Parent/Guardian: ___________________________________________________
Address: _______________________________________________________________
Phone: ________________________Hospital:________________________________
Insurance:__________________________________Policy #:______________________
Name: _______________________________________Phone:________________________
Name: _______________________________________Phone:________________________
RELEASE
I/We are aware of and understand the risks, including the risk of catastrophic injury,
paralysis or even death, as well as other injuries associated with participation in
cheerleading. In consideration of you accepting my child as a cheerleader, I/we do release
American Fork Little League Cheerleading Association, any advisor, instructor, coach, or
anyone associated with cheerleading from any and all actions, causes of action, damage,
claims or demands which I, my child executor, administrators of assigns may have against
and other about described parties for all personal injuries, damages, claims or the like,
known or unknown which my child has or may incur by participating as described.
Date: _________________________
Date:__________________________
WAIVER/RELEASE FORM
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CONSENT FOR ATHLETIC EMERGENCY CARE
BE IT KNOWN that in the event I cannot be reached, I the undersigned parent or guardian of
the child above named, do hereby give and grant unto any medical doctor or hospital my
consent and authorization to render such aid, treatment or care to said child as, in the
judgment of said doctor or hospital may be required, on a emergency basis, in the event
said child should be injured or stricken ill while participation in a cheerleading activity
sponsored by AF Little League Association.
IT IS HEREBY understood that the consent and authorization hereby give and granted are
continuing, and are intended by me to extend throughout the current cheer season.
IT IS FURTHER understood that any expenses incurred will be paid by insurance or the
parent/guardian of the cheerleader. Payment of the expense is not an Association
responsibility.
__________________________________ _______________________
SIGNATURE OF PARENT/GUARDIAN DATE
In consideration of your acceptance of my child’s entry, I hereby, for myself, my child, and
my heirs do waive and release any and all right to claims for damage I or my child have
against American Fork Fitness Center or its representatives for any and all injuries
suffered by myself or my child at any activity sponsored by the American Fork Fitness
Center.
In consideration of your acceptance of my child’s entry, I hereby, for myself, my child, and
my heirs to waive and release any and all right to claims for damage I or my child have
against American Fork High School or representatives for any and all injuries suffered by
myself or my child at any activity sponsored by the American Fork High School
Cheerleaders.
All information provided will be kept confidential, and only be provided to your child’s coach and select
League personnel.
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