You are on page 1of 5

AF CAVEMEN CHEER

2011 Tryouts
picture

____________________________
Grade (going into Aug. 2011)

________________________________________________
Name

_________________________________________________
Parent(Mom)/Guardian

________________________ __________________________ ______________________


Participant cell phone # Parent(Mom)/Guardian Cell # Home phone number

_________________________________ ____________________________________
Participant email address Parent(Mom)/Guardian email address

Paid ______ check #_________ cash________

Agreement and Expectations of AF Little League Cheerleaders and Parents


1
*Cheerleaders will not lie, steal, gossip about one another, swear, fight, talk back to elders,
coaches, advisors or parent rep.
*Cheerleaders must attend all clinics, practices, competitions and games. Any absence,
excused or unexcused, requires cheerleader to get with someone and learn material that
was missed. Black out dates cannot be missed or cheerleader will not be able to compete.
*Excused absences must be approved by your advisor prior to the absence.
*Cheerleaders will not be able to wear their uniform or any part of it to school.
*Cheerleader will be required to follow team rules and demerit system.

PLEASE READ AGREEMENT AND EXPECTATIONS, ONLY SIGN UPON ACCEPTANCE AND AGREEMENT
OF THESE TERMS. Cheerleaders cannot try out without the following signatures.

I,_____________________________________commit to the Agreement and Expectation


Requirements. I agree to the expense of a cheerleader which needs to be paid in full by
June 1, 2011 and agree before I try out I commit to follow these guidelines. Failure to comply
will result in being excused from the cheer squad (money paid will not be refunded).

Signed: __________________________________________Date:___________________
Prospective Cheerleader

I, _____________________________________the parent/Guardian of the above prospective


cheerleader, commit to the above mentioned requirements and expectations. I agree to
the expense of a cheerleader which needs to be paid in full by June 1, 2011 and agree that
before my daughter tries out, I commit to follow these guidelines. Failure to comply will
result in my daughter being excused from the cheer squad (money paid will not be refunded). I
also agree to support my daughter, The Association, and the coaches to insure that my
daughter has a successful experience as a cheerleader. I commit to at least 8-10 hours of
volunteer service to my daughter’s squad and/or The Association.

Signed: _________________________________________Date______________________
Parent/Guardian

EMERGENCY/RELEASE FORM

2
Participant’s name: _________________________________________________

Parent/Guardian: ___________________________________________________

Address: _______________________________________________________________

Primary Care Physician: ________________________________________________

Phone: ________________________Hospital:________________________________

Insurance:__________________________________Policy #:______________________

Medications We Need To Know About: ___________________________________

Allergies to Medication: _________________________________________________

THESE PEOPLE MAY BE CONTACTED IN CASE OF AN EMERGENCY:

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.

As the legal parent and /or guardian of__________________________________________,I


hereby verify that I fully understand and accept the above conditions for permitting my
child to participate in cheerleading.

I HAVE READ AND UNDERSTAND THIS AGREEMENT.

Signature of Parent or Guardian_________________________________________________

Date: _________________________

Signature of Participant: _______________________________________________________

Date:__________________________
WAIVER/RELEASE FORM

3
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

WAIVER RELEASING AMERICAN FORK FITNESS CENTER COACHES AND AFFILIATES

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.

PARENTS ASSUME ALL RISK.


Participant’s Name: _____________________________________________
Parent Signature: _____________________________________________
Date: ____________________

WAIVER RELEASING AMERICAN FORK HIGH SCHOOL CHEERLEADERS

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.

PARENTS ASSUME ALL RISK.


Participant’s Name: __________________________________
Parent Signature: ___________________________________
Date:__________________________

All information provided will be kept confidential, and only be provided to your child’s coach and select
League personnel.

4
5

You might also like