Professional Documents
Culture Documents
2014 Tryouts
Picture
(Please paper clip on)
____________________________
Grade (going into Aug. 2014)
________________________________________________
Name
_________________________________________________
Parent(Mom)/Guardian
________________________
__________________________
Participant cell#
Parent(Mom)/Guardian
Parent Cell #
_________________________________
Participant email address
Paid ______
______________________
____________________________________
Parent(Mom)/Guardian email address
*Cheerleaders will not lie, steal, gossip about one another, swear, fight, talk back to elders,
coaches, advisors or parent rep.
*Cheerleaders must attend all clinics, practices, competitions and games. Any absence, excused
or unexcused, requires cheerleader to get with someone and learn material that was missed. Black
out dates cannot be missed or cheerleader will not be able to compete.
*Excused absences must be approved by your advisor prior to the absence.
*Cheerleaders will not be able to wear their uniform or any part of it to school.
*Cheerleader will be required to follow team rules and demerit system.
PLEASE READ AGREEMENT AND EXPECTATIONS, ONLY SIGN UPON ACCEPTANCE AND AGREEMENT OF THESE TERMS.
Cheerleaders cannot try out without the following signatures.
Parent/Guardian
EMERGENCY/RELEASE FORM
2
Date:__________________________
WAIVER/RELEASE FORM
CONSENT FOR ATHLETIC EMERGENCY CARE
BE IT KNOWN that in the event I cannot be reached, I the undersigned parent or guardian of the child
above named, do hereby give and grant unto any medical doctor or hospital my consent and
authorization to render such aid, treatment or care to said child as, in the judgment of said doctor
or hospital may be required, on a emergency basis, in the event said child should be injured or
stricken ill while participation in a cheerleading activity sponsored by AF Little League Association.
IT IS HEREBY understood that the consent and authorization hereby give and granted are
continuing, and are intended by me to extend throughout the current cheer season.
IT IS FURTHER understood that any expenses incurred will be paid by insurance or the
parent/guardian of the cheerleader. Payment of the expense is not an Association responsibility.
__________________________________
_______________________
SIGNATURE OF PARENT/GUARDIAN
DATE
WAIVER RELEASING AMERICAN FORK FITNESS CENTER COACHES AND AFFILIATES
In consideration of your acceptance of my childs entry, I hereby, for myself, my child, and my
heirs do waive and release any and all right to claims for damage I or my child have against
American Fork Fitness Center or its representatives for any and all injuries suffered by myself or
my child at any activity sponsored by the American Fork Fitness Center.
PARENTS ASSUME ALL RISK.
Participants Name: _____________________________________________
Parent Signature: _____________________________________________
Date: ____________________
WAIVER RELEASING AMERICAN FORK HIGH SCHOOL CHEERLEADERS
In consideration of your acceptance of my childs entry, I hereby, for myself, my child, and my
heirs to waive and release any and all right to claims for damage I or my child have against
American Fork High School or representatives for any and all injuries suffered by myself or my child
at any activity sponsored by the American Fork High School Cheerleaders.
PARENTS ASSUME ALL RISK.
Participants Name: __________________________________
Parent Signature: ___________________________________
Date:__________________________
All information provided will be kept confidential, and only be provided to your childs coach and select League
personnel.
Parent/Guardian:_________________ Home
Phone:_____________________Cell__________________
Address:________________________________________________Physician:_________________
_____
Phone:_________________ Emergency
Contact:__________________________Phone_______________
Insurance Co:_______________________________
Policy_____________________________________
Medications Taking:__________________________ Meds. Allergic to:________________________
Consent for Athletic Emergency Care
BE IT KNOWN that in the event I cannot be reached, I, the undersigned parent or guardian of the participant
above named, do hereby give and grant unto any trainer, medical doctor or hospital my consent and
authorization to render such aide, treatment, or care to said participant as determined by the judgment of
said trainer, doctor or hospital. I understand that treatment may be required, on an emergency basis; in the
events said participant should be injured or stricken ill while participating in these Cheerleading Events
sponsored by the above named school.
IT IS HEREBY understood that the consent and authorization hereby given and granted are continuing, and are
intended by me to extend throughout the competition.
IT IS FURTHER understood that any expenses incurred will be paid for by the insurance or the parent of
the participant. Payment of the expense is not the responsibility of the American Fork High Schools or any
other affiliated party.
_____ YES I give my consent
Signature:_______________________________________________________________________
___
Parent/Guardian
Parent or Guardians Permit to Participate
Student:________________________________________________
Grade:_____________________________ I/we hereby give my consent for the above named participant
to participate in these American Fork High School events. I/we acknowledge that even with the best training
and precautions that injuries are still a possibility. On rare occasions these injuries can be so severe as to
result in total disability, paralysis, quadriplegia, or even death.
I/we acknowledge that
I/we have read and understand this warning.
I/we hereby agree to exonerate and save harmless the Alpine School District, American Fork High School and
all their agents, servants and employees, including coaches, trainers, and all practitioners of the healing arts
treating my son/daughter, from any and all liability, claims, causes of action or demands of any kind and
nature whatsoever which may arise by or in connection with my son/daughters participation in the
American Fork High School Cheer Events.
Parent/Guardian:___________________________________________________________
Date:____________
Participant:________________________________________________________________
Date________________