2026 Season Cheer SD Extreme Liability and Medical Clearance Form

2026 SEASON - CHEER SAN DIEGO EXTREME WAIVER OF LIABILITY, MEDICAL RELEASE, AND INDEMNIFICATION AGREEMENT
I UNDERSTAND AND FULLY ACCEPT THAT THERE ARE RISKS INVOLVED IN SPORTS, AND THAT ACCIDENTS AND INJURIES ARE COMMON AND ARE ORDINARY OCCURRENCES OF SPORTS. I HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY OR DEATH, AND VERYIFY THIS STATEMENT BY PLACING MY INITIALS HERE.
Initial Here
Release of Liability

In consideration of being permitted by Cheer San Diego Extreme to participate in any activities, practices, or events organized by Cheer San Diego Extreme, I hereby release and hold harmless Cheer San Diego Extreme, its officers, employees, agents, volunteers, designated coaches, program officials, and supervisors from any and all liability. This release includes all actions or claims that I now or may hereafter have for any damage or injury to myself, any other person, or property, resulting from the negligence or other acts of the above parties in connection with my participation.

I acknowledge that this waiver, release, and assumption of risks are binding upon my heirs, assigns, and legal representatives.

Indemnification

I agree to indemnify and hold Cheer San Diego Extreme, its officers, employees, agents, and volunteers free and harmless from any loss, liability, damage, cost, or expense they may incur as a result of any injury or property damage I may cause or sustain while participating in any Cheer San Diego Extreme activity.

Medical Treatment Authorization

In the event of a medical emergency, I hereby authorize Cheer San Diego Extreme and its volunteers to arrange for treatment on my behalf, including any necessary medical treatment, diagnostic testing, and X-rays. I also authorize Cheer San Diego Extreme to disclose the information contained on my Emergency Medical Authorization Form to medical personnel. While an attempt will be made to contact me by phone when a diagnosis is made, I understand that my treatment may proceed without prior notice.

I agree to bear all medical, hospital, or other expenses incurred as a result of such treatment and acknowledge that Cheer San Diego Extreme does not provide medical or other insurance coverage for participants.

Insurance Disclaimer

I understand and acknowledge that Cheer San Diego Extreme does not provide any medical or other insurance protection at this time. I am solely responsible for maintaining my own health insurance coverage.

Privacy Notice

Cheer San Diego Extreme will not disclose your nonpublic personal medical or financial information, except as required or permitted by law.

Acknowledgment of Understanding

I have carefully read this waiver and release of liability and fully understand its contents. I acknowledge that this is a legally binding contract between myself and Cheer San Diego Extreme. I agree to the terms voluntarily and of my own free will.
Full Legal Name
SIGNATURE
Date

MonthDayYear
Date
Cheer San Diego Extreme Emergency Medical Form
Full Legal Name
Your Phone Number
Format: (000) 000-0000.
Your Email Address
example@example.com
Your Home Address
Your Birthdate

MonthDayYear
Date
Your Age
Your Family Doctor or Primary Care Physician
Doctor's Phone Number
Format: (000) 000-0000.
Preferred Hospital
Insurance Provider
ID/Policy #
Group #
Known Allergies
Special Medical/Health Conditions
Current Medications & Dosages
Emergency Contact #1 Name
Emergency Contact #1 Primary Phone Number
Format: (000) 000-0000.
Emergency Contact #1 Secondary Phone Number
In case of emergency or case of incapacity, do you allow this person to make all necessary medical decisions on your behalf (Y/N)?
Emergency Contact #2 Name
Emergency Contact #2 Primary Phone Number
Format: (000) 000-0000.
Emergency Contact #2 Secondary Phone Number
In case of emergency or case of incapacity, do you allow this person to make all necessary medical decisions on your behalf (Y/N)?
To finalize the process, we kindly ask you to provide a photo ID for verification purposes. This step ensures the waiver is valid and protects all parties involved.Accepted forms of ID include a valid driver’s license, passport, or student ID.

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2026 SEASON - CHEER SAN DIEGO EXTREME WAIVER OF LIABILITY, MEDICAL RELEASE, AND INDEMNIFICATION AGREEMENT

Cheer San Diego Extreme Emergency Medical Form