Registration

Registration

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4:00pm-9:00pm Open to the public 5 years and up Must be potty trained and able to communicate with our staff $5 per hour per member $10 per hour per non-member **Become a member for $45 annual membership fee Snacks and drinks sold in the CEA lobby

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *

Students entered below will be added to your family's account

Questions/Options:


Does your child have any allergies? *

Additional Information:

Assumption of Risk

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I've read the above and agree.

Release of Liability

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I've read the above and agree.

COVID-19

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I am aware of the symptoms of COVID-19, which include but are not limited to fatigue, cough, fever, shortness of breath, runny nose, or sore throat. By my child's voluntary membership and participation in Carolina Elite Athletics, I am acknowledging that: Carolina Elite Athletics has encouraged me (and my child) to stay home if I (or my child) have any underlying medical conditions that could increase the severity of exposure to COVID-19 and me on behalf of myself and my child acknowledge that I am not aware of any underlying medical condition that could increase the severity of exposure to COVID-19 for myself or my child. Carolina Elite Athletics has encouraged me to wear a personal protective face mask while attending any Carolina Elite Athletics activities, and if I (or my child) choose to wear or bring my own personal protective face mask, the personal protective face mask will be properly cleaned and sanitized prior to entering Carolina Elite Athletics facilities. I understand that Carolina Elite Athletics is relying upon my honesty and Carolina Elite Athletics cannot be held liable for any exposure to the COVID-19 virus caused by any misinformation I have provided herein. ASSUMPTION OF RISKS I understand and I am aware that there are inherent risks and possible exposure dangers related to my child's membership and participation in Carolina Elite Athletics, including my own attendance at a Carolina Elite Athletics activity, in relation to the contagious nature of COVID-19. By signing this Agreement I on behalf of myself and my child ASSUME ALL RISK that I or my child may be exposed to or infected by COVID-19 by my child's membership and participation in Carolina Elite Athletics and that such exposure or infection may result in illness, personal injury, disability and/or death to myself or my child. I understand that my risk and my child's risk of becoming exposed to or infected by COVID-19 while participating in Carolina Elite Athletics may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Carolina Elite Athletics employees, contractors, staff members, members, invitees or guests. I on behalf of myself or my child voluntarily agree to ASSUME ALL RISKS, whether such risks are foreseen or unforeseen, general or specific, that arise from my child's membership and participation in Premier Cheer or are increased by the nature of mine or my child's pre-existing medical condition, and I accept sole responsibility for any illness or injury to myself or my child (including, but not limited to, personal injury, disability or death), damage, loss, claim, liability, or expense, of any kind, that I or my child may experience or incur in connection with my child's membership and participation in Carolina Elite Athletics (collectively, the "Claims").

I've read the above and agree.

Medical Readiness and Emergencies

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Photo/Video Release

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Enter your Full Name:

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Other Questions/Comments:

Credit Card Verification:

Card Number: *

Name as it appears on card: *

Nickname:

Card Expiration Month: *

Exp Year: *

Address Line 1:

Address Line 2:

City:

State: Zip:*