Valley Cheer Gym Waiver

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Email *

Record my email address with my response

ATHLETES NAME: *

AHTLETES BITHDAY: *

PARENTS NAME: *

PARENTS PHONE: *

ATHLETES ALLERGIES: *

ATHLETES MEDICATIONS:

EMERGENCY CONTACT AND PHONE NUMBER:

In consideration for registration for Valley Cheer open gym, of my minor child (above), I do hereby agree to release, discharge and hold harmless, Valley Cheer, it's officers, agents, employees, and booster organizations of and from all causes, liabilities, damages, claims or demands, resulting from injury or accident involving said my minor child (above) while participating in the open gym. I understand that all participants of Valley Cheer be covered by medical insurance and that Valley Cheer does not provide such insurance for participants.
*

YES

Photo release: I hereby authorize Valley Cheer to photograph, videotape and/or audiotape my minor child (above) and use these on Valley Cheer social media outlets and any other advertising for Valley Cheer.
*

YES

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