Agreement to Participate and Parental Consent Form

 

I am aware that playing or practicing any sport can be a dangerous activity involving MANY RISKS OR INJURY. I understand the dangers and risks of playing or practicing in the above sport include but are not limited to, death, serious neck and spinal injuries which may result in complete or partial paralysis or brain damage, serious injury to virtually all bones, joints, ligaments, muscles, tendons, and other aspects of the muscular-skeletal system and serious injury or impairment to other aspects of my body, general health, and well-being. Because of the dangers of participating in the above sport, I recognize the importance of following the coach's instructions regarding playing techniques, training, rules of the sport, other team rules, and obeying such instructions.

 

In consideration of Buffalo All-Star Extreme, LLC permitting me to practice, play or try out for Buffalo All-Star Extreme, LLC's competitive cheerleading or dance team, and to engage in all activities related to the team, including practicing, playing, and travel, I hereby voluntarily assume all risks associated with participation and agree to exonerate and save harmless Buffalo All-Star Extreme, LLC,(institution, their agents, servants, employees and the athletic contractors), the physicians and other practitioners of the healing arts treating me, from any and all kind of liability, claims, causes of action or demands of any kind and nature whatsoever which may arise by or in connection with my participation in any activities related to Buffalo All-Star Extreme, LLC (institution) competitive cheerleading, dance, gymnastics or tumbling.

 

The terms hereof shall serve as a release and assumption of risk for my heirs, estate,

executor, administrator, assignees, and all members of my family. 

 

I hereby agree to submit any disputes that may arise between myself and Buffalo All-Star Extreme, LLC (institution, its agents, servants, and employees, the athletic staff of Buffalo All-Star Extreme, LLC), the physicians, and other practitioners of the healing arts treating me and their agents, trustees, servants, and employees, in connection with my activities Buffalo All-Star Extreme, LLC (institution), to binding arbitration before three arbitrators, in accordance with the Rules of the American Arbitration Association.

(For contact or collision sports)

 

 

I specifically acknowledge that competitive cheerleading, dance, gymnastics, or tumbling could be considered a dangerous CONTACT sport, involving an even greater risk of injury than other sports.

 

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Buffalo All-Star Extreme, LLC

 

AUTHORIZATION AND RELEASE FORM

 

2021-2024 

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I AUTHORIZE Buffalo All-Star Extreme, LLC. AND ITS REPRESENTATIVES TO CONSENT TO MEDICAL TREATMENT FOR MY CHILD WHEN I CANNOT BE REACHED TO SO CONSENT. I ALSO GIVE Buffalo All-Star Extreme, LLC AND ITS REPRESENTATIVES CONSENT TO ADMINISTER THE NECESSARY EMERGENCY CARE TO STABILIZE AND/OR IMPROVE THE CURRENT INJURY OR CONDITION THAT MY CHILD MAY HAVE SUSTAINED DURING ACTIVITIES RELATED TO Buffalo All-Star Extreme, LLC INSTRUCTION, PRACTICES, OR PERFORMANCES. NO PRIOR DETERMINATION OF A LIFE-THREATENING EMERGENCY OR DANGER OF SERIOUS PERMANENT INJURY RESULTING FROM TREATMENT NEED TO BE MADE UNDER THIS AUTHORIZATION. I AM FULLY AWARE THAT ANY ACTIVITY INVOLVING MOTION, HEIGHT, OR ATHLETIC ACTIVITIES CREATES THE POSSIBILITY OF SERIOUS INJURY, AND I FURTHER AGREE TO HOLD Buffalo All-Star Extreme, LLC AND ITS STAFF, OFFICERS, OR REPRESENTATIVES HARMLESS FOR ANY INJURY OR RESULTING EXPENSE(S). I RELEASE AND DISCHARGE ALL RIGHTS AND CLAIMS AGAINST Buffalo All-Star Extreme,LLC. AND ITS PARTIES. Buffalo All-Star Extreme, LLC. STRIVES TO PROVIDE A MAXIMUM IN SAFETY PROCEDURES AND GUIDELINES, AND CANNOT ASSUME RESPONSIBILITY FOR ANY ACCIDENTS, INJURY, OR ILLNESS THAT MAY OCCUR. Buffalo All-Star Extreme LLC. HIGHLY RECOMMENDS THAT ALL ATHLETES HAVE THEIR OWN HEALTH INSURANCE COVERAGE TO HELP COVER THE COST OF ANY INJURY/ILLNESS.

 

I AUTHORIZE Buffalo All-Star Extreme, LLC. TO USE PHOTOGRAPHS, VIDEO, AND OR OTHER LIKENESSES OF MY CHILD FOR USE IN PROMOTIONAL MATERIALS OR SALES AND WAIVE ANY RIGHTS OF COMPENSATION OR OWNERSHIP THERETO.

I HAVE READ, UNDERSTAND, AND AGREE TO THE Buffalo All-Star Extreme, LLC. FINANCIAL POLICIES( COPIES AVAILABLE AT FRONT DESK). I BELIEVE ALL THE INFORMATION ABOVE TO BE COMPLETE AND CORRECT.

 

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