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Register Now
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NEW MEMBER SPECIAL
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WAIVER
General Waiver
Birthday Waiver
General Waiver
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Athlete Name
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Last
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Athlete Date Of Birth
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Day
Year
Athlete Grade
*
Athlete School
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Known Allergens
*
(Please provide a complete list of all events and/or substances this athlete is allergic to.)
Parent/Guardian Name
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Last
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As legal guardian of my designated student(s) (student(s)), I hereby consent to all student(s) participating in ALSTARZ Cheerleading Academy 2, Inc. and this facility's program(s). I recognize that potentially severe injuries can occur in any activity involving height or motion, including tumbling and related activities including cheerleading, tumble tramp, trampoline, stunting, pyramids, dance, martial arts, and physical activity in general. I understand that it is the express intent of all staff and personnel to provide for the safety and protection of my student(s) and, in consideration for allowing my student(s) to use these facilities, I hereby COVENANT NOT TO SUE and FOREVER RELEASE ALSTARZ Cheerleading Academy 2, Inc, this facility, affiliated and partner companies and organizations, property owners and lessors, staff, contractors, subcontractors, teachers, coaches, owners, directors and other members involved in this facility's program(s), from all liability and for any and all damages and injuries suffered by my student(s) during instruction, supervision, and/or control during any and all classes or extra activities. I give my child permission to participate in ALSTARZ Cheerleading Academy’s activities during the COVID-19 pandemic. I am in agreement with ACA administering temperature checks, athletes wearing masks & sanitizing in an effort to maintain everyone’s safety. To my knowledge, my child is in good health, has not been in contact with in COVID-19 patients in the last 10 days & capable of participating in this type of activity during this time. I release and agree to hold harmless the ALSTARZ Cheerleading Academy and its staff from any liability whatsoever. In case of emergency, I give ALSTARZ and its staff permission to call for medical attention. Photo/Video Release ALSTARZ, has my permission to use my or my child’s photograph publicly to promote the business. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
*
As legal guardian of my designated student(s) (student(s)), I hereby consent to all student(s) participating in ALSTARZ Cheerleading Academy 2, Inc. and this facility's program(s). I recognize that potentially severe injuries can occur in any activity involving height or motion, including tumbling and related activities including cheerleading, tumble tramp, trampoline, stunting, pyramids, dance, martial arts, and physical activity in general. I understand that it is the express intent of all staff and personnel to provide for the safety and protection of my student(s) and, in consideration for allowing my student(s) to use these facilities, I hereby COVENANT NOT TO SUE and FOREVER RELEASE ALSTARZ Cheerleading Academy 2, Inc, this facility, affiliated and partner companies and organizations, property owners and lessors, staff, contractors, subcontractors, teachers, coaches, owners, directors and other members involved in this facility's program(s), from all liability and for any and all damages and injuries suffered by my student(s) during instruction, supervision, and/or control during any and all classes or extra activities.
I give my child permission to participate in ALSTARZ Cheerleading Academy’s activities during the COVID-19 pandemic. I am in agreement with ACA administering temperature checks, athletes wearing masks & sanitizing in an effort to maintain everyone’s safety. To my knowledge, my child is in good health, has not been in contact with in COVID-19 patients in the last 10 days & capable of participating in this type of activity during this time. I release and agree to hold harmless the ALSTARZ Cheerleading Academy and its staff from any liability whatsoever. In case of emergency, I give ALSTARZ and its staff permission to call for medical attention.
Photo/Video Release
ALSTARZ, has my permission to use my or my child’s photograph publicly to promote the business. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
I agree to the above statement.
*
DISCLAIMER—ALSTARZ 2 CHEERLEADING ACADEMY, INC., IS NOT RESPONSIBLE FOR ANY INJURY OR LOSS OF PROPERTY TO ANY PERSON WHILE PRACTICING, TRAINING, TAKING A CLASS, COMPETING IN GYMNASTICS OR CHEER, NAVIGATING ITS PREMISES, ANY OTHER CAMP ACTIVITY OR SPECTATING FOR ANY REASON WHATSOEVER, INCLUDING ORDINARY NEGLIGENCE ON THE PART OF ALSTARZ 2 CHEERLEADING ACADEMY, INC., ITS OWNERS, OFFICERS, AGENTS, OR EMPLOYEES. I, ________________________________, as parent of the below listed minor child and on my own behalf hereby acknowledge and agree to the following terms and conditions as a participant in activities organized by ALSTARZ 2 CHEERLEADING ACADEMY, INC.: 1. ASSUMPTION OF RISK—I am aware that gymnastics and cheerleading are vigorous activities involving height and rotation in a unique environment and as such they pose a risk of injury. I understand and acknowledge that participating in cheerleading and gymnastics activities involves inherent risks, including but not limited to sprains, injury to joints, injury to muscles, injuries to internal organs, broken bones, and other serious injuries. I understand that these activities may also involve risks that could result in serious neck and spinal injuries resulting in complete paralysis, brain damage, severe injury, disability, or death. The mats, pits, and other safety equipment and apparatus provided for my protection, including the active participation of a coach or teacher who will spot or assist in the performance of certain skills, may be inadequate to prevent serious injury. The risk of harm may be limited by all of the safety equipment and trained coaches, but never eliminated. I understand that participation in gymnastics, cheerleading, and related activities involves activities incidental to active participation including moving from event to event, conditioning, stretching and other activities which leave me vulnerable to the reckless actions of other participants who may not have complete control over their actions or who may not see other students in the gym. I understand that the terrain at a cheerleading and gymnastic gym contains challenges including padded mats, and different levels of cushioning. These conditions are open and obvious. I am navigating the premises of ALSTARS 2 CHEERLEADING ACADEMY, INC., knowing and understanding these challenges. I am voluntarily participating in this activity with knowledge of the risks involved and hereby agree to accept any and all inherent risks of property damage, personal injury, or death. 2. RELEASE OF LIABILITY—In consideration of my child being allowed to participate in the activities organized by ALSTARZ 2 CHEERLEADING ACADEMY, INC., and me being able to watch my child participate in activities, I hereby release, discharge, and covenant not to sue ALSTARZ 2 CHEERLEADING ACADEMY, INC., its board of directors, officers, employees, instructors, volunteers, and agents from any and all present and future claims, demands, actions, or causes of action, whether in law or in equity, resulting from ordinary negligence on part of ALSTARS 2 CHEERLEADING ACADEMY, INC., or others listed for property damage, personal injury or wrongful death arising out of my child’s and my participation in these activities, including but not limited to any injury, loss, damage, or death. I release any claim described herein on my own behalf and on behalf of any minor for which I am signing. 3. WAIVER—I voluntarily waive any and all claims resulting from ordinary negligence—both present and future—that may be made by me, my family, estate, heirs, or assigns against ALSTARZ 2 CHEERLEADING ACADEMY, INC. and agree to indemnify and hold harmless ALSTARZ 2 CHEERLEADING ACADEMY, INC., its directors, officers, employees, instructors, volunteers, and agents from any and all claims, demands, actions, or causes of action, arising out of my child’s participation in these activities and me being on the premises to watch my child participate with these activities. 4. MEDICAL TREATMENT—In the event of an injury or illness occurring during my child’s participation in the activities or me watching my child, I authorize ALSTARZ 2 CHEERLEADING ACADEMY, INC. and its staff to obtain medical treatment for my child or me, including emergency medical treatment, if deemed necessary. I understand that I am solely responsible for any costs associated with medical treatment for my child and myself. If an injury occurs, I hereby contract and agree that my/my child’s individual medical coverage is deemed primary in any and all situations. 5. USE OF LIKENESS –I authorize ALSTARZ 2 CHEERLEADING ACADEMY, INC. the irrevocable right to use photographs of me and/or my child in all forms, media, manners, without restriction for advertising, promotion, or any other lawful purpose without compensation or further consent. I understand that this waiver is intended to be as broad and as inclusive as permitted by the laws of the state of Louisiana and agree that if any portion is held invalid, the remainder of the waiver will continue to be in full force and effect. I further agree that the venue for any legal proceedings shall be within the State of Louisiana. I affirm that I am of legal age and am freely signing this agreement. I have read this form and fully understand that by signing this form, I am giving up legal rights and/or other remedies which may be available to me for ordinary negligence of ALSTARZ 2 CHEERLEADING ACADEMY, INC. or any person/entity listed above.
*
DISCLAIMER—ALSTARZ 2 CHEERLEADING ACADEMY, INC., IS NOT RESPONSIBLE FOR ANY INJURY OR LOSS OF PROPERTY TO ANY PERSON WHILE PRACTICING, TRAINING, TAKING A CLASS, COMPETING IN GYMNASTICS OR CHEER, NAVIGATING ITS PREMISES, ANY OTHER CAMP ACTIVITY OR SPECTATING FOR ANY REASON WHATSOEVER, INCLUDING ORDINARY NEGLIGENCE ON THE PART OF ALSTARZ 2 CHEERLEADING ACADEMY, INC., ITS OWNERS, OFFICERS, AGENTS, OR EMPLOYEES.
I, ________________________________, as parent of the below listed minor child and on my own behalf hereby acknowledge and agree to the following terms and conditions as a participant in activities organized by ALSTARZ 2 CHEERLEADING ACADEMY, INC.:
1. ASSUMPTION OF RISK—I am aware that gymnastics and cheerleading are vigorous activities involving height and rotation in a unique environment and as such they pose a risk of injury. I understand and acknowledge that participating in cheerleading and gymnastics activities involves inherent risks, including but not limited to sprains, injury to joints, injury to muscles, injuries to internal organs, broken bones, and other serious injuries. I understand that these activities may also involve risks that could result in serious neck and spinal injuries resulting in complete paralysis, brain damage, severe injury, disability, or death. The mats, pits, and other safety equipment and apparatus provided for my protection, including the active participation of a coach or teacher who will spot or assist in the performance of certain skills, may be inadequate to prevent serious injury. The risk of harm may be limited by all of the safety equipment and trained coaches, but never eliminated. I understand that participation in gymnastics, cheerleading, and related activities involves activities incidental to active participation including moving from event to event, conditioning, stretching and other activities which leave me vulnerable to the reckless actions of other participants who may not have complete control over their actions or who may not see other students in the gym. I understand that the terrain at a cheerleading and gymnastic gym contains challenges including padded mats, and different levels of cushioning. These conditions are open and obvious. I am navigating the premises of ALSTARS 2 CHEERLEADING ACADEMY, INC., knowing and understanding these challenges. I am voluntarily participating in this activity with knowledge of the risks involved and hereby agree to accept any and all inherent risks of property damage, personal injury, or death.
2. RELEASE OF LIABILITY—In consideration of my child being allowed to participate in the activities organized by ALSTARZ 2 CHEERLEADING ACADEMY, INC., and me being able to watch my child participate in activities, I hereby release, discharge, and covenant not to sue ALSTARZ 2 CHEERLEADING ACADEMY, INC., its board of directors, officers, employees, instructors, volunteers, and agents from any and all present and future claims, demands, actions, or causes of action, whether in law or in equity, resulting from ordinary negligence on part of ALSTARS 2 CHEERLEADING ACADEMY, INC., or others listed for property damage, personal injury or wrongful death arising out of my child’s and my participation in these activities, including but not limited to any injury, loss, damage, or death. I release any claim described herein on my own behalf and on behalf of any minor for which I am signing.
3. WAIVER—I voluntarily waive any and all claims resulting from ordinary negligence—both present and future—that may be made by me, my family, estate, heirs, or assigns against ALSTARZ 2 CHEERLEADING ACADEMY, INC. and agree to indemnify and hold harmless ALSTARZ 2 CHEERLEADING ACADEMY, INC., its directors, officers, employees, instructors, volunteers, and agents from any and all claims, demands, actions, or causes of action, arising out of my child’s participation in these activities and me being on the premises to watch my child participate with these activities.
4. MEDICAL TREATMENT—In the event of an injury or illness occurring during my child’s participation in the activities or me watching my child, I authorize ALSTARZ 2 CHEERLEADING ACADEMY, INC. and its staff to obtain medical treatment for my child or me, including emergency medical treatment, if deemed necessary. I understand that I am solely responsible for any costs associated with medical treatment for my child and myself. If an injury occurs, I hereby contract and agree that my/my child’s individual medical coverage is deemed primary in any and all situations.
5. USE OF LIKENESS –I authorize ALSTARZ 2 CHEERLEADING ACADEMY, INC. the irrevocable right to use photographs of me and/or my child in all forms, media, manners, without restriction for advertising, promotion, or any other lawful purpose without compensation or further consent.
I understand that this waiver is intended to be as broad and as inclusive as permitted by the laws of the state of Louisiana and agree that if any portion is held invalid, the remainder of the waiver will continue to be in full force and effect. I further agree that the venue for any legal proceedings shall be within the State of Louisiana.
I affirm that I am of legal age and am freely signing this agreement. I have read this form and fully understand that by signing this form, I am giving up legal rights and/or other remedies which may be available to me for ordinary negligence of ALSTARZ 2 CHEERLEADING ACADEMY, INC. or any person/entity listed above.
I agree to the above statement.
*
Parent/Guardian Signature
*
Δ
Birthday Waiver
"
*
" indicates required fields
Athlete Name
*
First
Last
Athlete Gender
*
Male
Female
Athlete Date Of Birth
*
Month
Day
Year
Athlete Grade
*
Athlete School
*
Known Allergens
*
(Please provide a complete list of all events and/or substances this athlete is allergic to.)
Parent/Guardian Name
*
First
Last
Phone
*
Email
*
Emergency Contacts
*
Name
Phone
Authorized To Pickup Child? Y/N
Add
Remove
Hidden
Emergency Contact Name
First
Last
Hidden
Email
Hidden
Phone
Hidden
As legal guardian of my designated student(s) (student(s)), I hereby consent to all student(s) participating in ALSTARZ Cheerleading Academy 2, Inc. and this facility's program(s). I recognize that potentially severe injuries can occur in any activity involving height or motion, including tumbling and related activities including cheerleading, tumble tramp, trampoline, stunting, pyramids, dance, martial arts, and physical activity in general. I understand that it is the express intent of all staff and personnel to provide for the safety and protection of my student(s) and, in consideration for allowing my student(s) to use these facilities, I hereby COVENANT NOT TO SUE and FOREVER RELEASE ALSTARZ Cheerleading Academy 2, Inc, this facility, affiliated and partner companies and organizations, property owners and lessors, staff, contractors, subcontractors, teachers, coaches, owners, directors and other members involved in this facility's program(s), from all liability and for any and all damages and injuries suffered by my student(s) during instruction, supervision, and/or control during any and all classes or extra activities. I give my child permission to participate in ALSTARZ Cheerleading Academy’s activities during the COVID-19 pandemic. I am in agreement with ACA administering temperature checks, athletes wearing masks & sanitizing in an effort to maintain everyone’s safety. To my knowledge, my child is in good health, has not been in contact with in COVID-19 patients in the last 10 days & capable of participating in this type of activity during this time. I release and agree to hold harmless the ALSTARZ Cheerleading Academy and its staff from any liability whatsoever. In case of emergency, I give ALSTARZ and its staff permission to call for medical attention. Photo/Video Release ALSTARZ, has my permission to use my or my child’s photograph publicly to promote the business. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
*
As legal guardian of my designated student(s) (student(s)), I hereby consent to all student(s) participating in ALSTARZ Cheerleading Academy 2, Inc. and this facility's program(s). I recognize that potentially severe injuries can occur in any activity involving height or motion, including tumbling and related activities including cheerleading, tumble tramp, trampoline, stunting, pyramids, dance, martial arts, and physical activity in general. I understand that it is the express intent of all staff and personnel to provide for the safety and protection of my student(s) and, in consideration for allowing my student(s) to use these facilities, I hereby COVENANT NOT TO SUE and FOREVER RELEASE ALSTARZ Cheerleading Academy 2, Inc, this facility, affiliated and partner companies and organizations, property owners and lessors, staff, contractors, subcontractors, teachers, coaches, owners, directors and other members involved in this facility's program(s), from all liability and for any and all damages and injuries suffered by my student(s) during instruction, supervision, and/or control during any and all classes or extra activities.
I give my child permission to participate in ALSTARZ Cheerleading Academy’s activities during the COVID-19 pandemic. I am in agreement with ACA administering temperature checks, athletes wearing masks & sanitizing in an effort to maintain everyone’s safety. To my knowledge, my child is in good health, has not been in contact with in COVID-19 patients in the last 10 days & capable of participating in this type of activity during this time. I release and agree to hold harmless the ALSTARZ Cheerleading Academy and its staff from any liability whatsoever. In case of emergency, I give ALSTARZ and its staff permission to call for medical attention.
Photo/Video Release
ALSTARZ, has my permission to use my or my child’s photograph publicly to promote the business. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
I agree to the above statement.
*
DISCLAIMER—ALSTARZ 2 CHEERLEADING ACADEMY, INC., IS NOT RESPONSIBLE FOR ANY INJURY OR LOSS OF PROPERTY TO ANY PERSON WHILE PRACTICING, TRAINING, TAKING A CLASS, COMPETING IN GYMNASTICS OR CHEER, NAVIGATING ITS PREMISES, ANY OTHER CAMP ACTIVITY OR SPECTATING FOR ANY REASON WHATSOEVER, INCLUDING ORDINARY NEGLIGENCE ON THE PART OF ALSTARZ 2 CHEERLEADING ACADEMY, INC., ITS OWNERS, OFFICERS, AGENTS, OR EMPLOYEES. I, ________________________________, as parent of the below listed minor child and on my own behalf hereby acknowledge and agree to the following terms and conditions as a participant in activities organized by ALSTARZ 2 CHEERLEADING ACADEMY, INC.: 1. ASSUMPTION OF RISK—I am aware that gymnastics and cheerleading are vigorous activities involving height and rotation in a unique environment and as such they pose a risk of injury. I understand and acknowledge that participating in cheerleading and gymnastics activities involves inherent risks, including but not limited to sprains, injury to joints, injury to muscles, injuries to internal organs, broken bones, and other serious injuries. I understand that these activities may also involve risks that could result in serious neck and spinal injuries resulting in complete paralysis, brain damage, severe injury, disability, or death. The mats, pits, and other safety equipment and apparatus provided for my protection, including the active participation of a coach or teacher who will spot or assist in the performance of certain skills, may be inadequate to prevent serious injury. The risk of harm may be limited by all of the safety equipment and trained coaches, but never eliminated. I understand that participation in gymnastics, cheerleading, and related activities involves activities incidental to active participation including moving from event to event, conditioning, stretching and other activities which leave me vulnerable to the reckless actions of other participants who may not have complete control over their actions or who may not see other students in the gym. I understand that the terrain at a cheerleading and gymnastic gym contains challenges including padded mats, and different levels of cushioning. These conditions are open and obvious. I am navigating the premises of ALSTARS 2 CHEERLEADING ACADEMY, INC., knowing and understanding these challenges. I am voluntarily participating in this activity with knowledge of the risks involved and hereby agree to accept any and all inherent risks of property damage, personal injury, or death. 2. RELEASE OF LIABILITY—In consideration of my child being allowed to participate in the activities organized by ALSTARZ 2 CHEERLEADING ACADEMY, INC., and me being able to watch my child participate in activities, I hereby release, discharge, and covenant not to sue ALSTARZ 2 CHEERLEADING ACADEMY, INC., its board of directors, officers, employees, instructors, volunteers, and agents from any and all present and future claims, demands, actions, or causes of action, whether in law or in equity, resulting from ordinary negligence on part of ALSTARS 2 CHEERLEADING ACADEMY, INC., or others listed for property damage, personal injury or wrongful death arising out of my child’s and my participation in these activities, including but not limited to any injury, loss, damage, or death. I release any claim described herein on my own behalf and on behalf of any minor for which I am signing. 3. WAIVER—I voluntarily waive any and all claims resulting from ordinary negligence—both present and future—that may be made by me, my family, estate, heirs, or assigns against ALSTARZ 2 CHEERLEADING ACADEMY, INC. and agree to indemnify and hold harmless ALSTARZ 2 CHEERLEADING ACADEMY, INC., its directors, officers, employees, instructors, volunteers, and agents from any and all claims, demands, actions, or causes of action, arising out of my child’s participation in these activities and me being on the premises to watch my child participate with these activities. 4. MEDICAL TREATMENT—In the event of an injury or illness occurring during my child’s participation in the activities or me watching my child, I authorize ALSTARZ 2 CHEERLEADING ACADEMY, INC. and its staff to obtain medical treatment for my child or me, including emergency medical treatment, if deemed necessary. I understand that I am solely responsible for any costs associated with medical treatment for my child and myself. If an injury occurs, I hereby contract and agree that my/my child’s individual medical coverage is deemed primary in any and all situations. 5. USE OF LIKENESS –I authorize ALSTARZ 2 CHEERLEADING ACADEMY, INC. the irrevocable right to use photographs of me and/or my child in all forms, media, manners, without restriction for advertising, promotion, or any other lawful purpose without compensation or further consent. I understand that this waiver is intended to be as broad and as inclusive as permitted by the laws of the state of Louisiana and agree that if any portion is held invalid, the remainder of the waiver will continue to be in full force and effect. I further agree that the venue for any legal proceedings shall be within the State of Louisiana. I affirm that I am of legal age and am freely signing this agreement. I have read this form and fully understand that by signing this form, I am giving up legal rights and/or other remedies which may be available to me for ordinary negligence of ALSTARZ 2 CHEERLEADING ACADEMY, INC. or any person/entity listed above.
*
DISCLAIMER—ALSTARZ 2 CHEERLEADING ACADEMY, INC., IS NOT RESPONSIBLE FOR ANY INJURY OR LOSS OF PROPERTY TO ANY PERSON WHILE PRACTICING, TRAINING, TAKING A CLASS, COMPETING IN GYMNASTICS OR CHEER, NAVIGATING ITS PREMISES, ANY OTHER CAMP ACTIVITY OR SPECTATING FOR ANY REASON WHATSOEVER, INCLUDING ORDINARY NEGLIGENCE ON THE PART OF ALSTARZ 2 CHEERLEADING ACADEMY, INC., ITS OWNERS, OFFICERS, AGENTS, OR EMPLOYEES.
I, ________________________________, as parent of the below listed minor child and on my own behalf hereby acknowledge and agree to the following terms and conditions as a participant in activities organized by ALSTARZ 2 CHEERLEADING ACADEMY, INC.:
1. ASSUMPTION OF RISK—I am aware that gymnastics and cheerleading are vigorous activities involving height and rotation in a unique environment and as such they pose a risk of injury. I understand and acknowledge that participating in cheerleading and gymnastics activities involves inherent risks, including but not limited to sprains, injury to joints, injury to muscles, injuries to internal organs, broken bones, and other serious injuries. I understand that these activities may also involve risks that could result in serious neck and spinal injuries resulting in complete paralysis, brain damage, severe injury, disability, or death. The mats, pits, and other safety equipment and apparatus provided for my protection, including the active participation of a coach or teacher who will spot or assist in the performance of certain skills, may be inadequate to prevent serious injury. The risk of harm may be limited by all of the safety equipment and trained coaches, but never eliminated. I understand that participation in gymnastics, cheerleading, and related activities involves activities incidental to active participation including moving from event to event, conditioning, stretching and other activities which leave me vulnerable to the reckless actions of other participants who may not have complete control over their actions or who may not see other students in the gym. I understand that the terrain at a cheerleading and gymnastic gym contains challenges including padded mats, and different levels of cushioning. These conditions are open and obvious. I am navigating the premises of ALSTARS 2 CHEERLEADING ACADEMY, INC., knowing and understanding these challenges. I am voluntarily participating in this activity with knowledge of the risks involved and hereby agree to accept any and all inherent risks of property damage, personal injury, or death.
2. RELEASE OF LIABILITY—In consideration of my child being allowed to participate in the activities organized by ALSTARZ 2 CHEERLEADING ACADEMY, INC., and me being able to watch my child participate in activities, I hereby release, discharge, and covenant not to sue ALSTARZ 2 CHEERLEADING ACADEMY, INC., its board of directors, officers, employees, instructors, volunteers, and agents from any and all present and future claims, demands, actions, or causes of action, whether in law or in equity, resulting from ordinary negligence on part of ALSTARS 2 CHEERLEADING ACADEMY, INC., or others listed for property damage, personal injury or wrongful death arising out of my child’s and my participation in these activities, including but not limited to any injury, loss, damage, or death. I release any claim described herein on my own behalf and on behalf of any minor for which I am signing.
3. WAIVER—I voluntarily waive any and all claims resulting from ordinary negligence—both present and future—that may be made by me, my family, estate, heirs, or assigns against ALSTARZ 2 CHEERLEADING ACADEMY, INC. and agree to indemnify and hold harmless ALSTARZ 2 CHEERLEADING ACADEMY, INC., its directors, officers, employees, instructors, volunteers, and agents from any and all claims, demands, actions, or causes of action, arising out of my child’s participation in these activities and me being on the premises to watch my child participate with these activities.
4. MEDICAL TREATMENT—In the event of an injury or illness occurring during my child’s participation in the activities or me watching my child, I authorize ALSTARZ 2 CHEERLEADING ACADEMY, INC. and its staff to obtain medical treatment for my child or me, including emergency medical treatment, if deemed necessary. I understand that I am solely responsible for any costs associated with medical treatment for my child and myself. If an injury occurs, I hereby contract and agree that my/my child’s individual medical coverage is deemed primary in any and all situations.
5. USE OF LIKENESS –I authorize ALSTARZ 2 CHEERLEADING ACADEMY, INC. the irrevocable right to use photographs of me and/or my child in all forms, media, manners, without restriction for advertising, promotion, or any other lawful purpose without compensation or further consent.
I understand that this waiver is intended to be as broad and as inclusive as permitted by the laws of the state of Louisiana and agree that if any portion is held invalid, the remainder of the waiver will continue to be in full force and effect. I further agree that the venue for any legal proceedings shall be within the State of Louisiana.
I affirm that I am of legal age and am freely signing this agreement. I have read this form and fully understand that by signing this form, I am giving up legal rights and/or other remedies which may be available to me for ordinary negligence of ALSTARZ 2 CHEERLEADING ACADEMY, INC. or any person/entity listed above.
I agree to the above statement.
*
Parent/Guardian Signature
*
Δ
