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This clinic is for students to work on all the material they learned at their school try out clinic. Coaches will work with them on cleaning their motions in their cheer and dance, voice projection, spirit, and jumps. 3 day clinic for 1.5hr each night. This clinic is for athletes preparing to tryout for the 2023-2024
Bumpus Middle School cheer team
. This clinic will be held on
March 13 - 15th from 6-7:30pm.
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11th grade
12th grade
1st grade
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3rd grade
4th grade
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6th grade
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8th grade
9th grade
Adult
college
college-freshman
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kindergarten
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10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
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Student Email:
School:
Grade Level:
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10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilities (Leave blank if NONE):
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Student's First Name:
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Male
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Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
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Primary Doctor:
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Additional Information:
Assumption of Risk/Release of Liability
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I fully understand that ACE of Birmingham and staff are not physicians or medical practitioners of any kind. With the above in mind, I hereby release the staff at ACE of Birmingham to render temporary first aid to my child or children in the event of any injury or illness, and if deemed necessary by the staff at ACE of Birmingham, to call a doctor and seek medical help, including transportation to any health care facility or hospital, or the calling of an ambulance for said child should the staff at ACE of Birmingham deem it necessary.
We, the staff at ACE of Birmingham, recognize our obligation to make our clients and their parents aware of the risks and hazards associated with the sport of cheerleading. Competitors may suffer injuries, possibly minor, serious or catastrophic in nature. These activities can be dangerous and can lead to injury. It is the parents who should make their children aware of the possibility of injury and encourage their children to follow all the safety rules and coaches' instructions.
The undersigned agree, ACE of Birmingham and its' staff members are not responsible for injuries sustained by any cheerleader during the course of tumbling, stunting, cheerleading, or dancing in which he/she may participate or while traveling to or from the event. With the above in mind, and being fully aware of the risks and possibility of injury involved, I consent to have my child or children participate in the programs offered by ACE of Birmingham. I, my heirs, executors, and other representatives, waive and release all rights and claims for damages that I or my child/children may have against ACE of Birmingham and or its' representatives whether paid or volunteer. I also affirm that I now have and will continue to provide hospitalization, health and accident insurance coverage that I consider adequate for both my child's protection and my own protection.
I've read the above and agree.
COVID-19 WAIVER Part 1:
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Part 1:
COVID-19 ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY
As used herein, "ACE" shall refer to ACE All-Stars of Alabama, LLC, ACE of Birmingham, and their officers, agents, owners, members, directors, employees, representatives, successors and assigns. "ACE Premises" shall mean the ACE gym facility and surrounding outdoor areas, including the ACE driveway and parking lot and means of entry and exit to and from the facility and parking lot. The participant athlete referred to as "My Athlete".
The World Health Organization has declared the novel coronavirus (COVID-19) a worldwide pandemic capable of transmission from person-to-person. ACE will use reasonable efforts to promote the health and safety of ACE athletes. However, because of the nature of the virus, ACE cannot and will not guarantee the safety of those persons participating in activities on the ACE premises.
I understand that ACE has been permitted by the government to reopen its doors under certain limited conditions, but the risk of being infected with the COVID-19 virus still exists to me, My Athlete, members of our families and others who access the ACE Premises. I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. Some of the carriers of the virus never show any symptoms. It is therefore impossible to determine who has it and who does not. I understand that all of the health risks of the COVID-19 are not known at this time, but I understand that the COVID-19 virus is highly contagious. I further understand that COVID-19 may cause serious and perhaps lifelong health hazards and can be fatal.
Notwithstanding the precautions taken by and disinfecting done by ACE, I understand that due to volume of athletes and employees using the ACE Premises, the frequency of visits by individuals to ACE, the characteristics of the virus, and the characteristics of the ACE facilities, My Athlete and I (if present or located on the ACE Premises or around My Athlete after his/her presence at ACE) has an elevated risk of contracting the virus simply by being on the ACE Premises.
EVERY TIME My Athlete enters the ACE Premises, I agree that the following statements are true and correct to the best of my knowledge:
• My Athlete does not have the COVID-19 virus or any of the symptoms thereof (fever above 99°, shortness of breath, loss of sense of taste or smell, dry cough, or sore throat)
• My Athlete has not been tested for the COVID-19 virus, or if My Athlete has been tested for it, My Athlete has received negative results.
• My Athlete has not been around anyone with COVID-19 symptoms in the past 14 days to my knowledge.
• My Athlete does not live with and has not been around anyone who is sick or quarantined.
• My Athlete has not traveled by commercial airline, bus, or train within the past 14 days.
• I verify that My Athlete will comply with all COVID-19 policies currently put into practice by ACE, and all recommendations of the CDC.
• I agree to immediately notify ACE, in writing, if My Athlete or someone living in any place where My Athlete resides or has been present tests positive for COVID-19, or shows symptoms of COVID-19.
• I agree that My Athlete will not enter the ACE Premises if I cannot agree to any of the above statements on any given day or time.
I've read the above and agree.
COVID-19 Waiver Part 2:
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Part 2:
Understanding the above, I agree on behalf of myself and My Athlete, that by participating in activities at ACE or simply being present at the ACE Premises, My Athlete, I and others who are present at ACE Premises with us may be at risk of contracting COVID-19. With full knowledge of the risks associated with COVID-19, I, on behalf of myself and my minor children and/or wards, our heirs, executors, and personal representatives, hereby release, waive, and discharge ACE, its officers, members, owners, agents, directors, employees, independent contractors, affiliates, representatives, successors and assigns from any and all liability, claims, demands, actions, and causes of action whatsoever, directly or indirectly, arising out of or related to any loss, damage, injury, or death, that may be sustained by My Athlete or me related to COVID-19 while participating in any activity while on, in, or around the ACE Premises, or while using the facilities that may lead to unintentional exposure or harm due to COVID-19. I further agree to indemnify, defend, and hold harmless ACE from and against any and all costs, expenses, damages, losses, and or liabilities or claims arising whether directly or indirectly from or related to any such claims made by or against any of the released parties above.
By electronically signing below, I acknowledge that I have read the foregoing liability release waiver and understand its contents; that I am at least 19 years old and fully competent and that I am the parent or legal guardian of My Athlete and authorized to give my consent on my behalf and/or on behalf of My Athlete; that no other authorization or approval is needed to execute this Agreement (including from any other parent or legal guardian or other representative), and that I have been sufficiently informed of the risks involved and give my voluntary consent to this waiver, free from any inducement or representation.
I've read the above and agree.
Price
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$135 fee for clinic. Card on file will be charged 1 week prior to the clinic start date. Clinic is nonrefundable after due date. A minimum of 4 athletes must be enrolled to have the clinic.
I've read the above and agree.
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