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RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT (“AGREEMENT”) ©Pending

In consideration of participating in any and all activity at The Cheer Combine, LLC or any classes held off site but through the enrollment of Cheer Combine, LLC I represent that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the activity. I fully understand that this Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the “releasees” named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the Activity.

I hereby release, discharge, and covenant not to sue Cheer Combine, LLC, its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the “RELEASEES” herein) from all liability, claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the “releasees” or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost, which any may incur as the result of such claim.

I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

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PARENTAL CONSENT

AND I, the minor’s parent and/or legal guardian, understand the nature of the above referenced activities and the Minor’s experience and capabilities and believe the minor to be qualified to participate in such activity. I hereby Release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releasees from all liability, claims, demands, losses or damages on the minor’s account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claim against any of the above Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releases from any litigation expenses, attorney fees, loss liability, damage, or cost any Releasee may incur as the result of any such claim.

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RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT (“AGREEMENT”) © Pending

In consideration of participating in any and all activities at The Cheer Combine, LLC I represent that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the Activity.

I fully understand that this Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the “releasees” named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the Activity.

I hereby release, discharge, and covenant not to sue The Cheer Combine, LLC , its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the “RELEASEES” herein) from all liability, claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the “releasees” or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost, which any may incur as the result of such claim.

I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

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https://usacheer.org/wp-content/uploads/2021/03/USA-Cheer-SafeSport-Code-2.26.2020.pdf


USA CHEER SAFE SPORT CODE

USA Cheer is committed to creating a safe and positive environment for its participants’ physical, emotional, and social development and ensuring it promotes an environment free from abuse and misconduct. As part of this program, USA Cheer has implemented policies addressing certain types of abuse and misconduct, as well as certain policies intended to reduce, monitor and govern the areas where potential abuse and misconduct might occur.

The policies herein set forth some of the boundaries for appropriate and inappropriate conduct.

Included in this document are policies that address types of abuse and misconduct:

Sexual Abuse and Misconduct

Physical Abuse and Misconduct

Emotional Abuse and Misconduct

Bullying, Threats and Harassment

Hazing

Also included in this document are the following minor abuse prevention policies to reduce the risks of potential abuse:

One-on-one Interactions

Sexual Abuse and Prevention

Electronic Communications

Addressing Bullying

Travel

Locker Rooms, Restrooms & Changing Rooms

All USA Cheer Members shall familiarize themselves with each form of misconduct and shall refrain from engaging in misconduct and/or violating any of these policies.

In the event that any of USA Cheer’s Members, employees or volunteers observe inappropriate behaviors (i.e., policy violations), suspected physical or sexual abuse, or any other type of abuse or misconduct, it is the personal responsibility of each such person to immediately report their observations. USA Cheer, USA Cheer Members, and all “Covered Individuals” (as defined in the Sexual Abuse and Misconduct Policy) are required to promptly report any alleged violations of the Sexual Abuse and Misconduct Policy.

In addition to reporting within USA Cheer, such persons must also report suspected child physical or sexual abuse to appropriate law enforcement authorities WITHIN A 24-HOUR PERIOD when required under this Policy and/ or under applicable law. Employees and volunteers should not attempt to evaluate the credibility or validity of child physical or sexual abuse allegations as a condition for reporting to appropriate law enforcement authorities.

USA Cheer has ZERO TOLERANCE for abuse and misconduct.

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I confirm that my child is in good health and that I have medical insurance on my child and will provide coverage while he/she is enrolled. I hereby authorize first aid by trained and/ or untrained staff members, employees, instructors, medical personnel and consent to any x-ray, exam, and medical or surgical diagnosis that is deemed necessary in case of emergency. Additionally, I hereby agree to individually provide for all possible future medical expenses which may be incurred by my child as a result of any injury sustained while participating at or for The Cheer Combine, LLC.

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In consideration for allowing my child to use The Cheer Combine, LLC facilities, I, on my own behalf and the behalf of my child and our respective heirs, administrators, executors and successors hereby COVENANT NOT TO SUE and FOREVER RELEASE The Cheer Combine, LLC, its officers, directors, shareholders, employees or other representatives, whether paid or volunteer, from all liability for any and all damages or injuries suffered by my child while under the instruction, supervision, or control of The Cheer Combine, LLC, including without limitation, those damages or injuries or death resulting from acts of negligence on the part of its officers, directors, shareholders, employees or agents. I further agree to hold harmless and indemnify The Cheer Combine, LLC; including without limitation, all representatives, all staff personnel, and all administrators. I further release The Cheer Combine, LLC from any medical and/or legal costs which may arise due to any injury and/or illness sustained. I also give permission for photographs and videos of my child to be used in print or broadcast media as deemed appropriate for the promotion of any The Cheer Combine, LLC activities.

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I, the undersigned parent/guardian of the participant listed, do here by give permission for her/him/they to attend and participated in any event directed, created, taught by The Cheer Combine, LLC. I, on my own behalf and on behalf of the Minor, here by warrant that I have read all release, waiver and policies in its entirety and fully understand its contents.

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As legal guardian/ parent of the above named persons, I recognize that potentially severe physical injuries, including permanent paralysis, and/ or death can occur in sports and/ or activities involving height or motion, including but not limited to gymnastics, cheerleading, stunting, tumbling, trampoline, martial arts, dancing, birthday parties, open gym, squad training, camps, sleep-over and etc. Being fully aware of these dangers, I voluntarily consent to the aforementioned persons participating in any and all programs at The Cheer Combine, LLC, and I ACCEPT ALL RISKS associated with that participation.

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Ohio's Return-to-Play Law: What a Parent/Guardian Needs to Know – Youth Sports Organizations

Concussion Information Sheet
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Starting on April 26th, 2013, Ohio Law (ORC 3707.511) requires a youth sports organization to provide a Concussion Information Sheet to the parent or guardian of an individual who wishes to practice for or complete in an athletic activity organized by the organization. This information sheet can also be found at http://www.odh.ohio.gov/concussion under “Concussion Information Sheet” (Youth Sorts Organization Concussion Information Sheet) section.
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Parents and athletes are required to receive a concussion information sheet annually for each sport.

Removal from Play
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Coaches, referees, or officials must remove an athlete if the athlete is exhibiting the signs and symptoms of a concussion during practice or a game. These include:
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Appears dazed or stunned.
Is confused about assignment or position.
Forgets plays.
Is unsure of game, score or opponent.
Moves clumsily.
Answers questions slowly.
Loses consciousness (even briefly).
Shows behavior or personality changes (irritability, sadness, nervousness, feeling more emotional).
Can’t recall events before or after hit or fall.
Any headache or “pressure” in head. (How badly it hurts does not matter.)
Nausea or vomiting.
Balance problems or dizziness.
Double or blurry vision.
Sensitivity to light and/or noise
Feeling sluggish, hazy, foggy or groggy.
Concentration or memory problems.
Confusion
Does not “feel right.”
Trouble falling asleep.
Sleeping more or less than usual.

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The athlete cannot return to play (games, practice, or other training) on the same day that the player is removed. The athlete is not permitted to return to play until they have been assessed and cleared by a physician or by any other licensed health care provider authorized by the youth sports organization.
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Return to Play
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The student athlete cannot return to play, practice or training on the same day that the player is removed. Under Ohio law (ORC 3313.539 and ORC 3707.511), a physician must provide WRITTEN clearance for an athlete to return to play. Physicians (M.D. or D.O.) and Diplomates in either Chiropractic Neurology or Chiropractic Sports Medicine and Certified Chiropractic Sports Physicians who are listed in the American Chiropractic Board of Sports Physicians (ACBSP) Concussion Registry will be considered able to meet the recommended standards of care and are able to independently clear youth athletes to return to play. All other licensed health care professionals must work in coordination or consultation with a physician (M.D. or D.O.), as written in HB 143.
It is important to review your youth sports organizations’ policy regarding what health care providers are authorized to clear an athlete to return-to-play.

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Medical Clearance to Return to Play Form
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There is no specific form that must be filled out by a healthcare provider authorizing an athlete to return to play; however, the Ohio Department of Health has made one available at: http://www.odh.ohio.gov/concussion
For More Information

Ohio Department of Health - Ohio’s Return to Play Law:
http://www.odh.ohio.gov/concussion
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Centers for Disease Control and Prevention - Head's Up in Youth Sports:
https://www.cdc.gov/headsup/youthsports/

Centers for Disease Control and Prevention – Returning to School after a Concussion: https://www.cdc.gov/headsup/schools/index.html

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What is Lindsay’s Law? Lindsay’s Law is about Sudden Cardiac Arrest (SCA) in youth athletes. It covers all athletes 19 years or younger who practice for or compete in athletic activities. Activities may be organized by a school or youth sports organization.

Which youth athletic activities are included in Lindsay’s law?

Athletics at all schools in Ohio (public and non-public)

Any athletic contest or competition sponsored by or associated with a school

All interscholastic athletics, including all practices, interschool practices and scrimmages

All youth sports organizations

All cheerleading and club sports, including noncompetitive cheerleading

What is SCA? SCA is when the heart stops beating suddenly and unexpectedly. This cuts off blood flow to the brain and other vital organs. People with SCA will die if not treated immediately. SCA can be caused by 1) a structural issue with the heart, OR 2) an heart electrical problem which controls the heartbeat, OR 3) a situation such as a person who is hit in the chest or a gets a heart infection.

What is a warning sign for SCA? If a family member died suddenly before age 50, or a family member has cardiomyopathy, long QT syndrome, Marfan syndrome or other rhythm problems of the heart.

What symptoms are a warning sign of SCA? A young athlete may have these things with exercise: • Chest pain/discomfort
• Unexplained fainting/near fainting or dizziness
• Unexplained tiredness, shortness of breath or difficulty breathing

• Unusually fast or racing heart beats

What happens if an athlete experiences syncope or fainting before, during or after a practice, scrimmage, or competitive play? The coach MUST remove the youth athlete from activity immediately. The youth athlete MUST be seen and cleared by a health care provider before returning to activity. This written clearance must be shared with a school or sports official.

What happens if an athlete experiences any other warning signs of SCA? The youth athlete should be seen by a health care professional.

Who can evaluate and clear youth athletes? A physician (MD or DO), a certified nurse practitioner, a clinical nurse specialist, certified nurse midwife. For school athletes, a physician assistant or licensed athletic trainer may also clear a student. That person may refer the youth to another health care provider for further evaluation.

What is needed for the youth athlete to return to the activity? There must be clearance from the health care provider in writing. This must be given to the coach and school or sports official before return to activity.

All youth athletes and their parents/guardians must review information about Sudden Cardiac Arrest, then sign and agree to this form