POWERHOUSE ELITE

ALL STAR CHEER ATHLETE WAIVER & RELEASE

Athlete Name: __________________________________________

Date of Birth: ___________________

Parent/Guardian Name (if applicable): __________________________________________

Phone: ___________________________
Email: __________________________________________

Team/Level: __________________________________________
Season/Year: ______________________

1. ASSUMPTION OF RISK

I understand that All Star Cheerleading is a physically demanding sport involving tumbling, stunting, jumping, dance, conditioning, lifts, throws, and other athletic activities. I understand that participation may involve the risk of injuries, including but not limited to sprains, strains, fractures, concussions, dislocations, and other injuries.

I voluntarily choose to participate in Powerhouse Elite activities and understand the inherent risks associated with the sport.

2. RELEASE OF LIABILITY

To the fullest extent permitted by applicable law, I release and hold harmless Powerhouse Elite, its owners, directors, coaches, instructors, employees, volunteers, contractors, and representatives from claims arising from my participation in activities, except to the extent caused by conduct that cannot legally be waived.

This waiver does not waive any rights that cannot legally be waived under applicable law.

3. MEDICAL TREATMENT

In the event of an injury or medical emergency, I authorize Powerhouse Elite staff to obtain appropriate emergency medical assistance for the athlete when reasonably necessary.

I understand that Powerhouse Elite is not responsible for medical expenses, transportation costs, or treatment costs that may result from an injury or emergency.

Medical Insurance Provider: __________________________________

Policy/Member ID: __________________________________________

Emergency Contact: _________________________________________

Emergency Phone: __________________________________________

4. HEALTH & MEDICAL INFORMATION

I agree to inform Powerhouse Elite of any medical condition, injury, allergy, restriction, or other circumstance that could affect the athlete's ability to safely participate.

I understand that coaches should be informed of relevant medical restrictions before participation.

5. ATHLETE CONDUCT

I agree that the athlete will:

• Follow coach and staff instructions.
• Treat teammates, coaches, officials, and other participants respectfully.
• Follow gym, competition, travel, and safety rules.
• Use equipment only as instructed.
• Report injuries immediately.
• Avoid intentionally dangerous or inappropriate behavior.
• Respect Powerhouse Elite's policies and code of conduct.

Powerhouse Elite may restrict or suspend participation when necessary for safety or disciplinary reasons.

6. GYM & EQUIPMENT

I understand that cheer equipment, mats, trampolines, spring floors, stunt equipment, and other training equipment must be used only under appropriate supervision and according to gym rules.

7. COMPETITIONS & TRAVEL

If the athlete participates in competitions, exhibitions, camps, clinics, or team travel, I understand that additional rules, releases, and requirements may apply.

Separate authorization may be required for overnight or out-of-state travel.

8. PHOTOGRAPHY & VIDEO

Choose one:

☐ YES, I give Powerhouse Elite permission to photograph/video the athlete during practices, events, performances, and competitions and use the images/videos for legitimate promotional, social media, website, advertising, and team-related purposes.

☐ NO, I do not give permission for the athlete's image/video to be used for promotional purposes.

9. PERSONAL PROPERTY

I understand that Powerhouse Elite is not responsible for lost, stolen, or damaged personal belongings brought to practices, competitions, or events, except where responsibility cannot legally be excluded.

10. PARENT/GUARDIAN ACKNOWLEDGMENT

If the athlete is under 18, I confirm that I am the athlete's parent or legal guardian and have authority to sign this agreement.

I have had the opportunity to read this waiver, ask questions, and understand the risks and responsibilities associated with participation.

11. AGREEMENT

By signing below, I acknowledge that I have read and understood this waiver and agree to its terms to the extent permitted by applicable law.

Athlete Signature: __________________________________________

Date: ___________________

Parent/Guardian Signature: __________________________________

Date: ___________________

Printed Parent/Guardian Name: _______________________________

POWERHOUSE ELITE STAFF

Staff/Witness Name: _________________________________________

Signature: _________________________________________________

Date: ___________________

POWERHOUSE ELITE ALL STAR CHEER

Train Hard. Cheer Fierce. Be Elite.