Individual Athlete Registration Form

Individual Athlete Registration Form

Maryland Baton Council Contest: March 23rd, 2024
Athlete's Full Name*

First NameLast Name
US Twirling Association Member Number*
*See member portal at ustwirling.com to find the athlete's member number.
Athlete's Date of Birth*

MonthDayYear
Athlete's Age *
*As of 8/31/2024
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Coaches*
Please list ALL coaches over the last year
Group Affiliation*
Please enter "NA" in this field if you are not affiliated with a group

Duet/Pairs Information ONLY:
Partner's Name

First NameLast Name
Partner's Date of Birth

MonthDayYear
Partner's Age
*As of 8/31/2024
US Twirling Association Member Number (Partner's Number ONLY)
*See member portal at ustwirling.com to find the athlete's member number.

Collegiate Information ONLY:
High School
College/University

I, First Name* Last Name* , agree to assume the risk of any injury that may happen to me (or my child) as a result of participation in a USTA sanctioned event.
I further agree to indemnify and hold the United States Twirling Association, its agents or employees harmless from any loss they may sustain as a result of injury to me (or my child) as a result of my participation in USTA events.

I have read the “Parents/Legal Guardians Responsibilities” (USTA Rulebook) and as a condition for the USTA’s acceptance of my child’s (or my) entry in a
USTA event, I agree to abide by and perform each of the duties that are set forth in that statement.
Signature* Date*

ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT

In consideration of being allowed to participate on behalf of the United States Twirling Association athletic program and related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and Covid-19. While particular rules and personal discipline may reduce risk, the risk of serious illness and death does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES of others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation with regards to protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS the United States Twirling Association their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASED”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to personal property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASES OR OTHERWISE, to the fullest extent permitted by law.
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)

This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions of this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM OTHER NEGLIGENCE, to the fullest extent provided by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
USTA PARTICIPANT WAIVER FOR MARYLAND BATON COUNCIL CONTESTS
Name of Participant*

First NameLast Name
Participant/Parent/Guardian Signature*

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Date Signed*

MonthDayYear
Date
Should be Empty:

Individual Athlete Registration Form

Duet/Pairs Information ONLY:

Collegiate Information ONLY:

USTA PARTICIPANT WAIVER FOR MARYLAND BATON COUNCIL CONTESTS