Registration Wizard

Complete Registration Form

Collinsville Youth Cheer Camp

Cheerleader Info

Player First Name

Player Last Name

Grade In Fall

Shirt Size

Parent Info

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Parent/Guardian 1 Cell Phone

Parent/Guardian 1 Email

Address

City

State

Postal Code

Waivers

Parent/ Guardian Consent

Parent/Guardian Consent
I, the undersigned, am the parent or legal guardian of the student registered and hereby give permission for my child to participate in Youth Cheer Camp, organized by Collinsville Youth Cheer and Collinsville Varsity Cheer.

Medical Consent
In the event of a medical emergency and if I cannot be reached, I authorize representatives of Collinsville Youth Cheer and/or Collinsville Varsity Cheer to obtain necessary medical treatment for my child. I understand that I will be responsible for any medical expenses incurred.

Liability Release
I understand that while the staff and representatives of Collinsville Youth Cheer and Collinsville Varsity Cheer, while using facilities at Collinsville Public Schools, will take reasonable steps to ensure the safety of all students, participation in any extra curricular event carries certain risks. I hereby release, waive, discharge, and hold harmless Collinsville Youth Cheer, Collinsville Varsity Cheer, and/or Collinsville Public Schools, its employees, agents, officers, and volunteers from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of or related to any loss, damage, or injury (including death) that may be sustained by my child, or any property belonging to my child, while participating in the above event or while traveling to or from the event.

Assumption of Risk
I acknowledge that my child’s participation in the above event is voluntary and may involve certain risks. I assume full responsibility for any personal injury or property damage resulting from my child’s participation. I further understand and agree that I am financially responsible for any emergency medical treatment provided.
Signature
By initialing below, I confirm that I have read and fully understand this form, and I consent to the terms stated above.

I agree