staff use only - JAMSpiritSites.com
STAFF USE ONLY Class Start/End Date: __________________ Class Time: __________ Registration Payment: YES
NO
Method of Payment: CASH CHECK CARD *If card, please attach CC form
I have read and understand the season contract and financial obligations of Cheerletics Royalty All Stars. I agree to be responsible for all fees for the cheerleaders as detailed above. I acknowledge that I have read in detail and agree to all of the policies and obligations as described within this contract. Cheerleader Name___________________________ Cheerleader DOB __________________ Cheerleader Email_____________________________ Cheerleader Cell #__________________ Parent/Guardian Name_________________________ Cell Phone________________________ Address______________________________________________________________________ Parent Email (primary) __________________________________________________________ Parent/Guardian Signature ______________________________________________________ INSURANCE INFORMATION Participant’s Name _________________________________________ Insurance Company ________________________________________ Policy Number _____________________________________________ Subscriber Name ___________________________________________ Emergency Contact Name ____________________________________ Emergency Contact Number __________________________________ Photo Release Information I give permission to Cheerletics All Stars to take pictures of my child for media purposes of any kind. Signature ________________________________________________________________
I (we) despite all reasonable precautions implemented for safety, am (are) fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis, and even death as well as other damages and losses associated with participation in the programs or activities. I (we) hereby for myself, executors, and administrators, do waive and release any and all rights and claims for damages against the owners, operators, coaches and other members of Cheerletics Royalty All Stars from personal injury or accident of any sort or nature suffered by me (us), the undersigned, by reason of participation or membership in classes or lessons or any programs or activities of Cheerletics Royalty All Stars/Athletic Tumbling Academy facilities.
Parent signature of participant________________________________________________
Minor Release I, the minor’s parent and/or legal guardian, understand the nature of these activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health and in proper physical condition to participate in such activity. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the releasee’s from all liability claims, demands, losses or damages on the minor’s account caused or alleged to be caused, in whole or in part by the negligence of the releasee’s or otherwise including negligent rescue operations. I further agree that if any of the release, I, the minor or anyone on the minor’s behalf makes a claim against any of the releases names above, I will indemnify, save and hold harmless each of the releases from any litigation expenses, attorney fees. Loss liability, damage, or cost any may incur as a result of any such claim.
___________________________________________
______________________
Signature of Parent or Guardian
Date
NO
Method of Payment: CASH CHECK CARD *If card, please attach CC form
I have read and understand the season contract and financial obligations of Cheerletics Royalty All Stars. I agree to be responsible for all fees for the cheerleaders as detailed above. I acknowledge that I have read in detail and agree to all of the policies and obligations as described within this contract. Cheerleader Name___________________________ Cheerleader DOB __________________ Cheerleader Email_____________________________ Cheerleader Cell #__________________ Parent/Guardian Name_________________________ Cell Phone________________________ Address______________________________________________________________________ Parent Email (primary) __________________________________________________________ Parent/Guardian Signature ______________________________________________________ INSURANCE INFORMATION Participant’s Name _________________________________________ Insurance Company ________________________________________ Policy Number _____________________________________________ Subscriber Name ___________________________________________ Emergency Contact Name ____________________________________ Emergency Contact Number __________________________________ Photo Release Information I give permission to Cheerletics All Stars to take pictures of my child for media purposes of any kind. Signature ________________________________________________________________
I (we) despite all reasonable precautions implemented for safety, am (are) fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis, and even death as well as other damages and losses associated with participation in the programs or activities. I (we) hereby for myself, executors, and administrators, do waive and release any and all rights and claims for damages against the owners, operators, coaches and other members of Cheerletics Royalty All Stars from personal injury or accident of any sort or nature suffered by me (us), the undersigned, by reason of participation or membership in classes or lessons or any programs or activities of Cheerletics Royalty All Stars/Athletic Tumbling Academy facilities.
Parent signature of participant________________________________________________
Minor Release I, the minor’s parent and/or legal guardian, understand the nature of these activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health and in proper physical condition to participate in such activity. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the releasee’s from all liability claims, demands, losses or damages on the minor’s account caused or alleged to be caused, in whole or in part by the negligence of the releasee’s or otherwise including negligent rescue operations. I further agree that if any of the release, I, the minor or anyone on the minor’s behalf makes a claim against any of the releases names above, I will indemnify, save and hold harmless each of the releases from any litigation expenses, attorney fees. Loss liability, damage, or cost any may incur as a result of any such claim.
___________________________________________
______________________
Signature of Parent or Guardian
Date
