As legal guardian of the fore mentioned minor athlete, I authorize Empire Cheer Inc. and its representatives to consent to medical treatment for my child when I cannot be reached to so consent. I also consent to Empire Cheer Inc. and its representatives to consent to administer the necessary emergency care to stabilize and/or improve the current injury or condition that my child may have sustained during activities related to Empire Cheer Inc instruction, practices or performance. No prior determination of life-threatening emergency or danger of serious permanent injury resulting from treatment needs to be made under this authorization.

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 Empire Cheer Inc and its staff, officers, or representatives harmless for any injury or resulting expense(s).

I release and discharge all rights and claims against Empire Cheer Inc and its parties. Empire Cheer Inc. strives to provide a maximum in safety procedures and guidelines, and cannot assume responsibility for any accidents, injury or illness that may occur. Empire Cheer Inc highly recommends that all athletes have their own health insurance coverage to help cover the cost of any injury.

I authorize Empire Cheer Inc. to use photographs, video and/or other likenesses of my child for use in promotional materials or sales and waive any rights of compensation or ownership thereto.