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Referral Information
Family Information
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Additional Info
Contact #1
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Contact #2
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Student #1
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Required Policies and Agreements
I do hereby acknowledge that I intend to participate in one or more athletic endeavours while a member of one of the
CheerForce AllStars Cheerleading Teams, from here on known as CheerForce Allstars I also acknowledge that I
will be doing so of my own free will.
I, as parent/guardian of the above, acknowledge my child's desire to participate in the Cheerleading program of
CheerForce Allstars. We understand that the coaches/advisors of CheerForce Allstars are trained coaches. We further
acknowledge that these coaches/advisors will behave prudently in the instruction of cheerleading and dance skills in
an effort to avoid accidents and/or injuries from occurring. We realize that participation in athletic endeavours entails
the risk of injury to the participants. We accept this risk regardless of the nature of the injury and/or the athletic
endeavour in which they will participate. We acknowledge that the term "athletic endeavour" as used herein includes
any cheerleading and dance related activity, drill, stunts, choreography, jumps, and gymnastic activities of any kind.

We also waive and absolve CheerForce Allstars the coaches, advisors, sponsors, parent volunteers, or other
volunteers, the staff and/or volunteers of any of the venues in which we practice or perform, or any one or more of
them or their executors, administrators, heirs, next of kin, successors or assigns, of and from any and all liability and
responsibility.
We understand that each participant is responsible for his or her own personal health, medical, dental, chiropractic,
and accident insurance coverage. We, intending to be legally bound, do hereby, my heirs, executor, and
administration, waive, release, and forever discharge any and all rights and claims for damage which I may have or
may hereafter accrue to me/my child against CheerForce Allstars, the coaches, advisors, sponsors, parent volunteers,
or other volunteers, the staff and/or volunteers of any of the venues in which we practice or perform, for any
damages which may be sustained or suffered by me/my child in connection with my association with or participation
in, or rising out of travel to and/or return from any cheerleading related site or activity affiliated with CheerForce Allstars.

I agree to allow any photos, videos, and/or audio recordings taken of me/my child at any cheerleading event to
be used exclusively by CheerForce Allstars for promotional purposes. These mediums may include our website at
www.cheerforceallstars.ca, as well as newspaper articles and press releases.

I Agree to All of the Above
Questions or Concerns