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2023-2024 ALL-STAR CHEER TEAM HALF YEAR LATE EVALUATIONS

Date & Times TBD

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: *
	Emergency Contact Info (Not Contact #1 or #2)

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

Additional Information:

COVID-19 Liability Waiver

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The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID 19 is extremely contagious and is believed to spread mainly from person to person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. NAPLES CHEER ACADEMY INC. has put in place preventative measures to reduce the spread of COVID 19; however, NAPLES CHEER ACADEMY INC. cannot guarantee that you or your child(ren) will not become infected with COVID 19. Further, attending NAPLES CHEER ACADEMY INC. events could increase your risk and your child(ren)'s risk of contracting COVID 19. By accepting this agreement, I acknowledge the contagious nature of COVID 19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID 19 by attending NAPLES CHEER ACADEMY INC. events and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID 19 at a NAPLES CHEER ACADEMY INC. event may result from the actions, omissions, or negligence of myself and others, including , but not limited to, NAPLES CHEER ACADEMY INC. employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or my self (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)'s attendance at NAPLES CHEER ACADEMY INC. or participation in NAPLES CHEER ACADEMY INC. programming ("Claims"). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless NAPLES CHEER ACADEMY INC. its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions , damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of NAPLES CHEER ACADEMY INC. its employees, agents, and representatives, whether a COVID 19 infection occurs before, during, or after participation in any NAPLES CHEER ACADEMY INC. program. I/we have read this assumption of the risk and waiver of liability relating to Coronavirus/ COVID 19, fully understand its terms, understand that I /we have given up substantial rights by agreeing to it and agree to it freely and voluntarily without any inducement.