ASSUMPTION OF RISK RELEASE, MEDIA RELEASE AND WAIVER OF LIABILITY INDEMNITY AGREEMENT
Name
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First Name
Last Name
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Athletes Name
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First Name
Last Name
Athlete's Date of Birth
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Month
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Day
Year
Date
Activity
Please Select
Birthday Party
Learn to Cheer
Open Gym
Other
Event Date
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Month
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Day
Year
Date
IN CONSIDERATION of allowing my athlete or myself to participate in activities and programs offered by 2669309 Ontario Inc. O/A Cheer Sport Sharks Toronto (referred to as “CSST”):
I WARRANT TO YOU THAT:
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I am the parent/guardian/adult participante and have full legal responsibility for decisions regarding my minor child / ward / myself (herein referred to as “athlete ”)
I am fully aware that any activity involving motion, height, or athletic activities creates the possibility of serious injury, and I further agree to hold CSST, and its staff, officers, or representatives harmless for any injury or resulting expense(s). I release and discharge all rights and claims against CSST, and its parties. CSST strives to provide a maximum in safety procedures and guidelines, and cannot assume responsibility for any accidents, injury, or illness that may occur.
I understand, and will instruct my athlete, that all rules for participation must be followed and that at all times the sole responsibility for personal safety remains with my athlete,
I will immediately remove my athlete from participation, and notify the nearest official, if at any time I sense or observe any unusual hazard or unsafe condition or if I feel that my athlete has experienced any deterioration in his/her physical, emotional or mental fitness for continued participation in the program
I authorize CSST and its representatives to consent to immediate injury treatment for my child when I cannot be reached to so consent.
I also give CSST and its representatives consent to administer the necessary emergency care to my child to stabilize and/or improve the current injury or condition that my child may have sustained during activities related to Cheer Sports instruction, practices, or performances. No prior determination of life threatening emergency or danger of serious permanent injury resulting from treatment need be made under this authorization.
Permission is granted to use my athlete’s picture or image in any and all marketing literature or promotional videos for CSST and/or any events sponsored by them.
I UNDERSTAND AND AGREE, ON BEHALF OF MY ATHLETE, MYSELF, MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN, THAT MY EXECUTION OF THIS DOCUMENT CONSTITUTES:
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an unqualified ASSUMPTION OF ALL RISKS associated with participation in this program by my athlete even if arising from negligence, or gross negligence, including any compounding or aggravation of injuries caused by negligent rescue operations or procedures, of the program organizer and any persons associated therewith or participating therein, and
a FULL AND FINAL RELEASE AND WAIVER OF LIABILITY of the program organizer and all persons and organizations associated with it and the program including, without limiting the generality of the foregoing, its officers, directors, officials, agents and/or employees, other participants, sponsors, advertisers, owners and/ or lessors of the premises used to conduct the program, sanctioning bodies, medical or rescue personnel (the RELEASES), of and from with the respect to all injury, disability, death or loss or damage to person or property whether arising from the negligence, or negligent rescue of or by the foregoing or otherwise, and
an UNDERSTANDING NOT TO SUE the RELEASES for any loss, injury, costs or damages of any form or type, howsoever caused or arising, and whether directly or indirectly from the participation of my athlete in the program, and
an AGREEMENT TO INDEMNIFY, and to SAVE and HOLD HARMLESS the RELEASES, and each of them, from any litigation expense, legal fees, liability, damage, award or cost, of any form or type whatsoever, they may incur due to any claim made against them or any one of them whether the claim is based on the negligence or the gross negligence of the RELEASEES or otherwise. I HAVE READ THIS DOCUMENT THOROUGHLY AND I UNDERSTAND THAT:
BY SIGNING THIS DOCUMENT I GIVE UP SUBSTANTIAL LEGAL RIGHTS
I consent to be added to the Cheer Sport Sharks Toronto mailing list.
Yes
No
I AGREE TO THESE TERMS VOLUNTARILY AND WITHOUT INDUCEMENT.
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