Camper Registration Form

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Please complete the form below to attend cheer camp with your team this summer.

Email *

Camper's Name: *

Camper's Date of Birth: *

YYYY

Camper's Age: *

Please select one: *

Cheerleader

Mascot

Camper's Grade Level: *

School: *

Physician Name: *

Physician Phone: *

Any medical conditions or known allergies? *

Yes

If you answered yes, please indicate what type of medical condition or any allergies below. *

Parent Name: *

Parent Phone Number: *

Parent Email: *

Street Address: *

City: *

Zip: *

Emergency Contact (Name): *

Emergency Contact (Number): *

PHOTO/INTERVIEW RELEASE:

Sideline Spirit, LLC may photograph participants with the intent of using the pictures in various publications
and/or on our web site. Similarly, Sideline Spirit, LLC may wish to promote classes, camps and events by sending
press releases to appropriate newspapers or publications. In addition, representatives of the media may be
interested in stories relating to Sideline Spirit, LLC and may wish to interview, photograph or videotape our
participants. Do you grant permission for photographs of and/or interviews with your child to appear in
other mediums and press releases to be distributed about my son/daughter.
*

Yes

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT (“AGREEMENT”):

In consideration of participating in Cheerleading Activities I represent that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the activity. I fully understand that this Activity
involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the “releasees” named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the Activity. I hereby release, discharge, and covenant not to sue Sideline Spirit, LLC or its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the “RELEASEES” herein) from all liability, claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the “releasees” or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost, which any may incur as the result of such claim. I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall
continue in full force and effect.
*

I agree

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