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To register, please take the time to fill out the information below.  One form is required for each participating athlete.

I, the undersigned parent or guardian, do hereby grant permission for my child, to participate in the sport of cheerleading at West Coast Rush. In order that my daughter/son may receive the necessary medical treatment in the event she/he may sustain injury or illness during participation in this sport, I hereby authorize the cheerleading coach or other supervising adult to obtain medical treatment for my daughter/son for such injury or illness during the sport, and I hereby hold West Coast Rush and any of its representatives harmless in the exercise of authority.


I understand that this sport involves risk to the participant. I further acknowledge and understand that due to the nature of this sport, which involves inversion and rotation of the body, there is a possibility that my daughter/son may sustain physical illness or injury (minimal, serious, or catastrophic), in connection with her or his participation. I further acknowledge and understand that my daughter/son is assuming the risk of such physical illness or injury by her/his participation, and I further release West Coast Rush and its representatives from any claims for personal illness or injury that my daughter/son may sustain during participation in this sport.


I further understand that West Coast Rush has established rules and regulations pertaining to conduct, behavior, and activities of all student and cheerleading participants, by which my daughter/son must abide during participation in this sport, and that my daughter/son and I will be responsible for her/his failure to abide by those rules and regulations.

The athlete listed has my permission to participate in the West Coast Rush program and/or camp for the 2021-2022 year.  In consideration for the training and coaching provided by West Coast Rush and its staff, I understand that my child must abide by the rules and regulations set forth by the coaches and staff.  I understand that violation of any of these rules may result in removal from the classes and/or events.  We acknowledge and recognize that hazards are present in any athletic event and that injury may result.  West Coast Rush coaches, staff and volunteers will not be liable for injury that occurs during practice, special events, competitions or travel to and from activities.  

COVID 19 liability and release waiver

ASSUMPTION OF RISKS. I understand that while West Coast Rush, LLC, dba West Coast Rush, has undertaken reasonable steps to lessen the risk of transmission of COVID-19 in connection with their Services, West Coast Rush, LLC is not responsible in any manner for any risks related to COVID-19 in connection with the Services. I understand that the World Health Organization has classified the COVID-19 outbreak as a pandemic. I further understand that COVID-19 is a highly contagious and dangerous disease, and that contact with the virus that causes COVID-19 may result in significant personal injury, death or economic hardship in relation to becoming infected.  I am fully aware that participation in cheerleading carries with it certain inherent risks related to COVID-19 transmission (“Inherent Risks”) that cannot be eliminated regardless of the care taken to avoid such risks. Inherent Risks may include, but are not limited to, (1) the risk of coming into close contact with individuals or objects that may be carrying COVID-19; (2) the risk of transmitting or contracting COVID-19, directly or indirectly, to or from other individuals; and (3) injuries and complications ranging in severity from minor to catastrophic, including death, resulting directly or indirectly from COVID-19 or the treatment thereof. Further, I understand that the risks of COVID-19 are not fully understood, and that contact with, or transmission of, COVID-19 may result in risks including but not limited to loss, personal injury, sickness, death, damage, and expense, the exact nature of which are not currently ascertainable, and all of which are to be considered Inherent Risks. I hereby voluntarily accept and assume all risk of loss, personal injury, sickness, death, damage, and expense arising from such Inherent Risks. Furthermore, I represent and warrant that I do not suffer from any medical condition or disease that might in any way hinder or prevent me from receiving the Services, including, to my knowledge, COVID-19. This COVID-19 Assumption of Risk, Release, and Waiver of Liability Agreement (“Agreement”) shall be binding on my heirs, executors, administrators, successors, and assigns. I expressly agree that this Agreement is intended to be as broad and inclusive as is permitted by applicable laws, and that if any portion of this Agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. This Agreement contains the entire understanding of the parties relating to the subject matter, and shall not be altered, modified, amended, waived or supplemented in any manner whatsoever except by a written agreement signed by both parties hereto or their duly authorized representatives. This Agreement may be executed, made and delivered electronically. To the maximum extent permitted by applicable law, I (a) covenant and agree not to elect a trial by jury with respect to any issue arising out of this Agreement or the Services that is triable of right by a jury, and (b) waive any right to trial by jury with respect to such issue to the extent that any such right exists now or in the future. This waiver of right to trial by jury is given knowingly and voluntarily. I have read and understood this Agreement and enter into it voluntarily in consideration of the opportunity to participate in the Services. I acknowledge I am giving up legal rights and/or remedies which may be available to me.

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