Athlete's Name
First Name
Last Name
Athlete's Date of Birth
*
-
Month
-
Day
Year
Date
Athlete's Age
*
Do you have prior experience in:
*
Cheer-Pop Warner
Cheer-School (Basketball, Football)
Cheer-All Star
Dance
New to cheerleading (no experience)
Parent/Guardian’s Name
First Name
Last Name
Parent/Guardian's Contact Phone Number
*
I am participating in cheerleading, offered by a coach with Elite Vibe Athletics during which I will receive information and instruction about the sport of cheerleading. I recognize that requires physical exertion that may be strenuous and may cause physical injury, I am fully aware of the risks and hazards involved and that it is MY RESPONSIBILITY to modify any movements to fit my limitations and level of conditioning. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in these classes. I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in these classes. In consideration of being permitted to participate in classes, I voluntarily and knowingly agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result in participating in the class(es) and acknowledge my informed consent to do so. In further consideration of being permitted to participate in these classes, I knowingly, voluntarily and expressly waive any claim I may have against the authorized instructor(s), Elite Vibe Athletics and its employees, agents or representatives, for damages and injury, including death, resulting from the ordinary negligence of the Instructor, or resulting from any facility in which the classes are located, that I may sustain as a result of participating in these classes. I, my heirs, assigns, spouse and legal representatives forever release, hold harmless, waive, discharge and covenant not to sue the instructor(s), Elite Vibe Athletics and their respective employees, agents or representatives for any injury or death caused by my voluntary participation in these classes. My signature below also acknowledges my agreement that I may be videotaped, audio recorded and/or photographed during the class(es), and that Elite Vibe Athletics may use and modify the images and/or recordings for any and all uses, including but not limited to advertisements and marketing without any compensation. The undersigned agrees that this waiver and release is intended to be as broad and inclusive as permitted by the laws of Massachusetts and that if any portion is held invalid, it is agreed that the balance will remain in full legal force and effect. I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above. This agreement remains in effect for as long as I participate in these classes.
*
I agree
I disagree
Parent's Email
*
Season 3 Registration Fee
*
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Season 3 Registration Fee
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$
75.00
one-time payment)
Registration Fee for Season 3
Total
$
0.00
Credit Card
Email
*
example@example.com
Payment Methods
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