To the Parents of 2008 Bridgewater Badger Cheerleaders:
Please complete the below waiver and medical information/release form. Participants will not be able to practice until the forms are completed.
Waiver and Release of Liability
I hereby acknowledge that I, ____________________________, am the parent or legal
guardian of _______________________________, a minor (hereinafter “Participant”). As a condition of the Participant being allowed to engage in any way in Bridgewater Badger Cheerleading (“hereinafter “BBC”) related events and activities, I hereby agree as follows:
1. I hereby grant my permission for Participant to engage in all cheerleading activities and acknowledge and understand that certain activities involve possible risk of injury which might result not only from Participants own action or inaction but from the action or inaction of others. I further understand that there may be other risks not known or reasonably foreseeable at the present time.
2. I hereby assume the foregoing risks on behalf of the Participant and accept the responsibility to immediately advise the BBC (Board Member, Advisor or Coach) of any conditions or activities that I believe to be unsafe and do not want the Participant to engage in.
3. I hereby agree to release and hold harmless the BBC and all affiliates of the BBC, including but not limited to Board Members, Advisors, and Coaches from any and all liability on account of injuries that may be sustained by the Participant while participating in BBC activities. I further expressly agree to indemnify and hold harmless the BBC, its heirs, successors, assigns, executors, and administrators against loss from any further claims, demands, or actions that may be subsequently brought by Participant or by any other persons on the account of any damages of any character resulting to Participant in any way from the forgoing activities.
I HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP CERTAIN RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.
Signature of Parent or Legal Guardian:_______________________________
Date: ________________
Telephone Number of Parent or Guardian ( )
Registration and Medical Information/Release Form
Child’s Name: ___________________________________ Phone:__________________
Address: _________________________________________
Mother: _____________________________ Day phone:__________________________
Father: ______________________________ Day phone:__________________________
Email Address to be used for information during season: __________________________
Emergency Contract: _____________________________ Phone:___________________
Allergies: _______________________________________________________________
Any other information Advisors should be aware of: ______________________________
_______________________________________________________________________
Family Doctor: __________________________________ Phone: __________________
Hospital: ________________________________________________________________
Insurance Policy: ________________________________ Number:__________________
Your signature below gives the Advisors and Board Members of the Bridgewater Badger Cheerleaders permission to authorize medical treatment and to release medical information as needed to medical personnel.
I, ________________________________________, the undersigned, being the
Parent/legal guardian of ________________________________, authorize the Bridgewater Badger Cheerleading Advisors and Board Members to authorize medical treatment for my daughter if injured or ill while under the supervision of the Advisors or Board Members.
__________________________________ _________________________
Parent’s Signature Date
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