PR CHEER TOURNAMENTS

 

 

 

 

MEDICAL TREATMENT & LIABILITY RELEASE FORM

 

 

SCHOOL:

 

 

 

I, the undersigned parent or guardian, do hereby grant permission to my daughter/son, whose name

is

 

And hereinafter shall be referred to as “participant” to participate

in PR CHEER TOURNAMENTS.  In order that the participant may receive the necessary medical treatment in the even of an injury or illness, I hereby hold the event’s director and its representatives harmless in the exercise of this authority.

I further acknowledge and understand that certain cheerleading activities have inherent risks and that cheerleading activities can be dangerous if the participant fails to follow established guidelines.

I further agree to hold harmless the PR CHEER TOURNAMENTS including its directors, officers and event officials and staff for any injury or illness incurred by the participant during the course of the event.

 

 

Participant’s Signature

 

Parent/Guardian’s Signature

 

Address

City

State

Zip

 

Home Phone

 

Emergency Phone

 

 

 

Date

 

 

 

NOTE:  Please list below any medication to which participant is allergic or is currently taking.  If participant is under medication, please check to make sure they bring their medication and that they take the prescribed dosage.  Any pre-existing medical condition is NOT covered by our insurance without a doctor’s written permission to participate on file with the event director.

 

 

 

 

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