CHEER

ATHLETE WAIVER

 

 

413 Branchway Road, Ste. E&F,

N. Chesterfield, VA 23236

Phone: (804) 594-0878

2019 COUNTY BATTLE MEDICAL TREATMENT/LIABILITY AND PHOTO RELEASE

In order that the participant receive the necessary medical treatment in the event of an injury or illness, I hereby release the event coordinator, facility and its representatives from any liability associated with the exercise of this authority. I further acknowledge and agree that in taking part in this event, there is the possibility of physical illness or injury (minimal, serious, or catastrophic) and that the participant is assuming the risk of such illness or injury by participating. I further hold harmless, Cheer Challenge, Inc. including its officers, directors, staff, agents and the facilities in which the event is held for any illness or injury incurred by participating in the event.

I give Cheer Challenge, Inc the right and permission to film, photograph and or video the participant, or me (advisor/coach/director/parent) at the event and during the entire event schedule, for any reproductions associated in or any way connected with said televised or filmed event; to be used for the sole purpose of Cheer Challenge, Inc.

12 + 4 =

sport

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Phone: (804) 594-0878

Fax: (804) 594-0879

Email: cheerchallengeva@gmail.com

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