Liability Release and Medical Treatment Authorisation Form

Liability Release and Medical Treatment Authorisation Form
V1.2 [Updated 3/9/2019]

I (parent or guardian if under 18 years) hereby agree for my son/daughter (if athlete aged under 18 years) to participate in Ultimate Cheer classes and associated activities. Due to the nature of this activity, I understand that there is risk to the participant including possible physical injury or illness. I agree to waive and release all rights to claim for damages which the participant may sustain or suffer during training or participating at an event, including travelling to and from the event.

If an injury occurs, a qualified First Aider will attend to the participant’s injury. If further medical treatment is required, an ambulance will be called. So the participant may receive the necessary treatment for such an injury, I hereby authorise the Cheerleading coaches or supervising staff to obtain medical treatment on the participant’s behalf for such an injury or illness. I hereby hold Ultimate Cheer and its Cheerleading coaches harmless in the exercise of authority.

I also confirm that the participant has not been advised by a doctor or paramedic to avoid physical exercise and do not know of any problems that may adversely affect the participant’s health when training or taking part in an event. Should Ultimate Cheer staff feel in their professional opinion that the participant is not physically able to participate, the participant will cease participation.

I hereby release and absolve Ultimate Cheer, its subsidiaries, staff and employees from all liability and responsibility for injuries, sickness and accidents that may be sustained whilst participating at Ultimate Cheer training or events. I also hereby acknowledge the risks involved when taking part in Cheerleading and that the participant is able to use NHS medical care in the unlikely event of an injury or accident when taking part.