Jr. Spartans Cheerleading Registration Form
All required fields must be completed before submission.
Cheerleader Information
Cheerleader's Name
*
First Name
Last Name
Cheerleader's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cheerleader's Date Of Birth
*
Cheerleader's Current Age
*
Cheerleader's Grade for 2025-2026 School Year
*
Name Of Cheerleader's School
*
Cheer Coach Request
Parent Information
1st Parent/Guardian Name
*
First Name
Last Name
1st Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
1st Parent/Guardian Email
*
example@example.com
2nd Parent/Guardian Name
First Name
Last Name
2nd Parent/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
2nd Parent/Guardian Email
example@example.com
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Player
*
Please Select
Parent
Grandparent
Aunt/Uncle
Sibling
Other
If you selected "OTHER" please specify.
Release of Liability
Please read and acknowledge.
Use drop-down to view waiver.
Please Select
In consideration of the risk of injury that exists while participating in tackle football and in consideration of my desire to participate in said Activity and being given the right to participate in same; I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives (hereinafter collectively, "releasor," "I" or "me", which terms shall also include releasor's parents or guardian if releasor is under 18 years of age, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind arising out of my participation in tackle football and I hereby release and forever discharge Jr. Spartans Football, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns from any physical or psychological injury that I may suffer as a direct result of my participation in the aforementioned activity.
I am voluntarily participating in the aforementioned activity, and I am participating in the activity at my own risk. I am aware of the risks associated with participating in this activity, which may include, but are not limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and death. I understand that these injuries or outcomes may arise from my own or others’ negligence, conditions related to travel to and from the activity, or from conditions at the activity location(s). Nonetheless, I assume all related risks, both known and unknown to me, of my participation in this activity.
I further agree to indemnify, defend and hold harmless the releasees against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney's fees and any related costs.
I further acknowledge that releasees are not responsible for errors, omissions, acts or failures to act of any party or entity conducting a specific event or activity on behalf of releasees. In the event that I should require medical care or treatment, I authorize to provide all emergency medical care deemed necessary, including but not limited to, first aid, CPR, the use of AEDs, emergency medical transport, and sharing of medical information with medical
personnel. I further agree to assume all costs involved and agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.
I further acknowledge that this activity may involve a test of a person's physical and mental limits and may carry with it the potential for death, serious injury, and property loss. I agree not to participate in the Activity unless I am medically able and properly trained, and I agree to abide by the decision of the official or agent, regarding my approval to participate in the activity.
I hereby acknowledge that I have carefully read this “waiver and release” and fully understand that it is a release of liability. I expressly agree to release and discharge all of its affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors, and assigns, from any and all claims or causes of action and I agree voluntarily give up or waive any right that I otherwise have to bring a legal action against for personal injury or property damage. To the extent that statute or case law does not prohibit releases for ordinary negligence, this release is also for such negligence on the part of, its agents, and employees.
I agree that this release shall be governed for all purposes by law, without regard to any conflict of law principles. This release supersedes any and all previous oral or written promises or other agreements.
In the event that any damage to equipment or facilities occurs as a result of my or my family's or my agent's willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any such actions of neglect or recklessness.
This waiver and release of liability shall remain in effect for the duration of my participation in the activity, during this initial and all subsequent events of participation.
Read/Acknowledge
*
Yes
Photo Release Consent
Please read and acknowledge.
Use drop-down to view waiver.
Please Select
This parental/guardian consent form is to both inform you and to request permission for your child’s/children’s photo/image and/or name to be published on the organization’s website and/or social media sites. As you are aware, there are potential dangers associated with the posting of personally identifiable information on a website and social media sites such as Facebook. Global access to the Internet does not allow us to control who may access such information. These dangers have always existed; however, we as an organization want to celebrate your child and his/her involvement with our teams. As such, we are asking for your permission to publish photos your child. We will not release any personally identifiable information without prior written consent from you as parent or guardian.
Do you consent to the use of your player's photo(s) on various youth sports platforms?
Yes, I consent
No, I do not consent
Email
example@example.com
Checkout
Should be Empty: