Athlete Information 2018-2019

Loud & Proud requires athlete and parent/guardian (if under the age of 18) contact information to be used for emergency contact and communication purposes.

Athlete Name *

First Name Last Name

Athlete Email

To be completed if age 13+

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Athlete Mobile

To be completed if age 13+

Athlete Date of Birth *

Date

Athletes age on 31st August 2020

This will be the age of the athlete for the entire season, regardless of Birthday

Medical Information

Any injuries, allergies, disabilities, illnesses or relevant health concerns your coaches should know about?

Phase 1 Team training *

Age 6-9 Age 10-12 Age 13-18 Age 18+

Tumbling classes *

Please allocate me a tumble class No tumbling

Name *

First Name Last Name

Email *

example@example.com

Contact telephone number *

Relationship to Athlete *

Athlete/Guardian-Option to receive communications by Email *

Opt in Opt out

Athlete/Guardian-Option to receive invitation for communications by mobile number supplied *

Opt in Opt out

I (parent or guardian if under 18 years) hereby release and absolve Loud & Proud, its subsidiaries, staff, employees, directors and presidents from all liability and responsibility for injuries, sickness, accidents, loss of money and property that may be sustained whilst participating at training, events, workshops, camps and/or competitions. I also herby acknowledge the risks involved when taking part in cheerleading and am able to use NHS medical care in the unlikely event of an injury or accident when taking part.

In consideration of me signing this release form, I am allowing myself / my child, to participate in a Loud & Proud events as above and intend to be legally bound and agree to waive and release all rights to claim for injury or accident whilst participating which I or my child may sustain at events, including travelling to and from events.I also confirm that I / my child, have/has not been advised by a doctor or paramedic to avoid physical exercise and do not know of any problems that my adversely affect my / their health when taking part at the event. Should Loud & Proud staff feel in their professional opinion that I am not physically able to participate, I / my child will cease participation. I also give permission for myself / my child to be photographed, video or audio-taped during any of the Loud & Proud events, and give permission for such photographs, video and audio tapes to be used in print or broadcast through any media which is deemed appropriate for the promotion of Loud & Proud.

TO COMPLETE YOUR REGISTRATION AND ACCEPT OUR TERMS AND CONDITIONS, PLEASE CHECK THE BOX BELOW. ALL FORMS AND POLICIES CAN BE FOUND ON OUR WEBSITE VIA THE SIGN UP TAB

I agree to Terms and Conditions

Name of person submitting the form *

Relationship to participant

Athlete Information Form

Athlete Information 2020-2021

Next of Kin Information

Consent