Gym Waiver

Please check all medical history boxes below that apply, and provide details and/or explanation. If you have more than one student please specify their medical history in the details area below the check boxes.

I consent to my child’s/children’s participation in all activities and programs offered or sponsored by THE CHEER ZONE. I understand the risks involved and agree to release and hold THE CHEER ZONE and its employees and volunteers harmless from and against any claim, demand or cause may have by reason of any loss, injury or damage to their person or property while enrolled or participating in or observing such activities and programs, and regardless of whether on or off the premises. Permission for Emergency Medical Treatment: I confirm that my child is in good health, and I hereby authorize simple first aid and consent to any x-ray, exam, and medical or surgical diagnosis which is deemed necessary in case of emergency. I hereby agree that I am responsible for all cost incurred for the collection of any delinquent payments, including but not limited to, attorney fees.