GALAXY SPIRIT ALL*STAR CHEERLEADER�S NAME: ____________________________________________________ Disclosure Statement To my knowledge my child has no physical restrictions that would inhibit her/him from this activity. I am fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis, and even death as well as other damages and losses appreciated with the participation in a cheerleading or gymnastics event. I further agree that Galaxy Spirit, Pete�s Gymnastics, any participates, coaches, staff or volunteers of any practice or event shall not be liable for any losses or damages as a result of my participation in the event or practice. I also acknowledge and understand that I am assuming the risk of such physical illness or injury, and further release Galaxy Spirit, Pete�s Gymnastics�, and their representatives of any claims for personal illness or injury that my child may sustain during this activity. ___________________________________ ________________________ Mother�s/Guardian Signature Date ___________________________________ ________________________ Father�s/Guardian Signature Date Parent & Participant Agreement We, the parent(s)/guardian(s) of the above child, have read and understand the guidelines of Galaxy Spirit. We understand the financial obligations, as described, the we will incur as being a parent of a Galaxy Spirit. We also understand that if these financial obligations are not fulfilled, my son/daughter will be removed from the program with out reimbursement of prior costs or payments. We agree to the practice schedule and will make ever attempt to make sure our son/daughter will be at ALL practices. We understand that if he/she misses more than 3 practices without the prior approval of a coach, he/she will be dismissed from the program or ill face disciplinary action from the coach. __________________________________ ________________________ Mother�s/Guardian Signature Date __________________________________ _________________________ Father�s/Guardian Signature Date As a member of the Galaxy Spirit, I have fully read and understand the rules and regulations as to what is expected of me. I will keep my parents/guardians and myself knowledgeable and informed of all rules, and realize the consequences of poor behavior or inappropriate actions may be severe. ________________________________ __________________________ Galaxy Spirit Cheerleaders signature Date THIS FORM MUST BE RETURNED AT THE FIRST PRACTICE OR THE MEMBER WILL NOT BE ALLOWED TO PARTICIPATE. |
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