TSC: 2023 ADULT RELEASE FORM CA CAMP

Adult's Name*

Cell Phone Number*

Please enter a valid phone number.

Address*

Daytime Phone Number*

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City, State, Zip*

Birthdate*

Date

School/Program Name*

Squad Name*

For the good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I Parent/Legal Guardian, agree to participate in the above Event to be conducted by The Spirit Consultants, LLC d/ b/ a The Spirit Consultants ("TSC"). I, in my own behalf further agree to release and to hold harmless The Spirit Consultants, the Hosting sites, (Riverside Convention Center, Marriot Hotel, Hampton Inn, and Hyatt Place Hotel in Riverside, CA) on whose premises the Event will occur (hereinafter the "Location"), the affiliates of The Spirit Consultants and the Location, and the respective directors, officers, representatives, members, agents and employees of The Spirit Consultants and their respective affiliates (hereinafter collectively "Releasees") from any liability or otherwise for any claim, judgement, loss, liability, cost, and expenses (including, without limitation, attorney's fees and costs) arising out of or connected with the Event, including any claim arising out of or connected with any illness or injury (minimal, serious, catastrophic and/or death) that I may incur or sustain during the Event, all activities associated with the Even and while traveling to and from the site for the Event whether or not the Event actually occurs. I further expressly agree to identify and hold harmless Releasees and Releasees' heirs, successors, assigns, executors and administration against loss from any further claims, demands or actions that may subsequently be brought by myself or by any other persons on the account of damages of any character resulting to me in any way from the foregoing activities.

I am aware that playing or practicing any sport or athletic activity can be dangerous and involves A RISK OF INJURY. I understand that the dangers and risk of playing or participating in cheerleading include, but not limited to, death, serious neck injury and spinal injuries which may result in complete or partial paralysis or brain damage, serious injury to virtually all bones, joint, ligaments, muscles, tendons, and other aspects of the muscular-skeletal system and serious injury or impairment to other aspects of my body, general health, and well-being.

Because of the increased risk of injury participating in cheer, I recognize the importance of following the coach's instructions regarding following safe progressions, safety techniques, proper and sequential lead-up skills, and safety guidelines and to obey such instructions.

Signature: x*

Clear

Date*

Date

Appearance Agreement:

I understand that The Spirit Consultants. LLC d / b / a TSC from time to time produces promotional material relating to its programs. I understand that as participant and/or a spectator that Minor may be included in videotapes, dvd's, pod casts and video casts or photographs taken during the Event and all future events (i.e. stunt clinics, choreography sessions, program support sessions). Therefore, without reservation or limitations, I, in my own behalf and on behalf of Minor, hereby assign, transfer and grant to The Spinit Consultants d/ b/ a TSC, its successors, assignees, licensees, sponsors, any television networks, and all other commercial exhibitors the exclusive right to photograph and/or videotape Minor and to utilize such videotapes and photographs and Minor's name, face likeness, voice and appearance as a part of the Event or in any other media now in existence or hereafter developed, in advertising and promoting the Event, in advertising and promoting similar future events or in advertising and promotions relating to The Spirit Consultants without reservations and limitations.

I further understand that neither The Spirit Consultants nor any third party is under any obligation to exercise any of the foregoing rights, licenses and privileges herein granted. I waive any right to inspect or approve the programs, copies thereof and any promotional materials related thereto.

Camp Rules:

1. Squads/teams must be on time to all event activities.

2. Please leave valuables at home. TSC is not responsible for lost or stolen items.

3. All medical emergencies must go through TSC camp administration staff first.

4. The use, consumption or possession of alcohol or other illegal substances is prohibited and will result in immediate removal from the event.

5. Smoking at the event is prohibited.

6. Hazing or initiations of any type are prohibited.

7. No decorations or accessories to be hung or used in both hallways and rooms of the hotel. Any mess that is made will be cleaned up before departing camp and all facilities will be left in the same conditioned as they were found in.

8. No running in the hallways.

9. No unnecessary noise in public areas.

10. No tumbling. stunting or horseplay in the hallways or hotel rooms. There is no tumbling allowed at the event.

11. All participants must be on their floor at 10:00pm, in their rooms at 10:30pm and lights out at 11:00pm.

12. No one of the opposite sex is allowed in the rooms.

13. Participants are not allowed to use cars during the event.

14. The Spirit Consultants are not responsible for participants during free time.

15. Squads are only to perform high risk skills such as stunting, transition skills, and pyramids during established and published camp hours when TSC medical staff are present.

Medical Release for Treatment:

I authorize The Spirit Consultants medical staff to provide medical treatment and/or obtain necessary medical treatment for myself and hereby, in my own behalf, release and hold harmless Releasees in the exercises of this authority. I further acknowledge and understand that I will be responsible for any and all medical and related bills that may be incurred for any illness or injury that I may sustain during the Event and while traveling to and from the site for the Event.

I represent that any medication to which I am allergic or medications that I am currently taking are listed below. I agree that I shall bring medications which I am currently taking with me to the Event and that I shall consume the prescribed dosage for such medications.

Medications (if any)*

Put N/A if not applicable.

Allergic to (if any)*

Put N/A if not applicable.

I acknowledge that the Minor suffers from the following medical conditions.*

Put N/A if not applicable.

Insurance Company*

Put N/A if not applicable.

Medical Insurance Policy Number

Primary and Secondary Emergency Contact Information:

Name*

Relationship to Adult*

Phone Number*

Please enter a valid phone number.

Phone Number*

Please enter a valid phone number.

In consideration of The Spirit Consultants I hereby voluntarily assume all risks associated with participation and agree to exonerate and save harmless (The Spirit Consultants, their agents, servants, and employees, athletic staff) from any and all kind of liability, claims, causes of action or demands of any kind and nature whatsoever which may arise by or in connection with my participation in any activities related to cheerleading. The terms hereof shall serve as a release and assumption of risk for my heirs, estate, executor, administrator. assignees, and all members of my family.

I, in my own behalf, hereby warrant that I have read this Adult Release and Waiver Form in its entirety and fully understand its contents. I, in my own behalf, am aware that this Adult Release and Waiver Form releases Releasees from liability and contains an acknowledgement of my voluntary and knowing assumption of the risk of injury or illness. I, in my own behalf, further acknowledge that nothing in this Adult Release and Waiver Form constitutes a guarantee that the Event will occur. I, in my own behalf, have signed this document voluntarily and of my own free will.

Signature*

Clear

Date*

Date

THE SPIRIT CONSULTANTS

2023 CALIFORNIA CAMP ADULT ASSUMPTION OF RISK, MEDICAL RELEASE AND WAIVER FORM