Cheer Clinic
We are holding a cheer clinic on Saturday, November 18th.  The clinic will be held from 10-11:30 am in Cleary Hall.  Grace students in preschool - 5th grade can participate.  The cost is $25 per student.  Students wanting to attend must be registered by Friday, November 10th. (Registration includes filling out this form and sending in payment).  Cash and checks will be accepted in the school office.  You can also pay online at:  https://cheer-clinic-2023.cheddarup.com (for a small fee).

Participants will receive a shirt, a bow, a snack and will get to cheer at the game on Monday, November 20th.  (Their admission to the game will be free - parents will need to pay to enter).
Sign in to Google to save your progress. Learn more
Adult's Name *
Adult's Phone: *
Student(s)'s Name & Grade:  include all students participating *
Shirt size *
Please include an emergency contact in case we are unable to reach you.
Emergency Contact Name/Phone/Relationship:
*
As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“participant”).

I am aware that participating in sports will involve travel to practices and games. I acknowledge and accept the risks involved with my child’s travel. I further understand that participation in sports presents to my child the risk of harm, including, but not limited to, serious personal injury or death. Any questions I have concerning my child’s participation have been answered.

In consideration of my child being allowed to participate in the sport(s) indicated above, I hereby RELEASE AND AGREE TO INDEMNIFY AND HOLD HARMLESS the Catholic Diocese of Peoria, the parish, the school, coaches, chaperones, volunteers or representatives associated with the event, and their employees and agents, from any and all liability for injuries, damages, medical expenses, or any other loss to my child or family or me (including attorneys’ fees) arising from or related to my child’s participation. Additionally, I give my consent and approval for my child’s name and picture to be printed in any sports program, publication, or video.

As a parent/guardian, I further acknowledge that I am a role model. I will remember that school athletics is an extension of the classroom, offering important learning experiences for the students. Therefore, I will show respect for all players, coaches, spectators, and officials. I will only participate in cheers that support, encourage, and uplift the teams involved. I understand the spirit of fair play and good sportsmanship expected by a Catholic school, and accept the responsibility that comes with being a parent/guardian of a student athlete.

Electronic Signature:
*
I understand that in the case of illness or injury to my child the school/parish will try to notify me or the person I have listed as an emergency contact. In case of medical emergency concerning my child, at a time when I or my listed emergency contact cannot be notified, I grant full power to the school/parish to 1) arrange for the transportation of my child, whether by ambulance or otherwise, to a proper facility where emergency medical treatment would normally be administered, including but not limited tom, an emergency room of a hospital, a doctor’s office, or a medical clinic; and 2) sign releases as may be required in order to obtain any medical or surgical treatment as is required in the judgment of medical authorities at the facility.

Electronic Signature:
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Our Lady of Grace Catholic School. Report Abuse