Flrida Tp Dg All-Stars Midseasn Tryuts 2017-2018 Pwer Pack All-Star Prep Tryuts Sessin 2 (Ages 5-18) Parent Inf Meeting: Wednesday, Nvember 29th 7:00 p.m. Tryut Date Friday, December 8th 6:00-8:30 p.m. Fr pricing and mre details, dwnlad ur Tryut Packet nline 727-585-7777 www.flridatpdg.cm Register by Nv. 29 $40 After Nv. 29 $45
All-Star Prep Tryut Details Pwer Pack All-Star Prep Teams at Tp Dg will be frmed based n ages as well as skills. Our staff will strive t put tgether the best pssible cmpetitive teams that will scre well in the divisin. There may be athletes n any given team that tumble at a different level than the rest f the their teammates. We try t match up the levels the best we can, but please remember that stunting, jumps, pyramids, dance, mtins, and age are a huge factr as well. We chse ur teams based n the psitins that we need t fill. Athletes shuld cme prepared the first day with all the required paperwrk, first installment payment. Athletes will be evaluated in grups and be asked t demnstrate jumps, mtins, tumbling, and stunting. Tryuts are clsed t spectatrs except parents f athletes ages 5-6. Athletes shuld wear shrts, shes, shirt and a bw. Tryut Checklist Register fr tryuts nline and pay $45 fee. Register early by Nvember 29 th and pay nly $40. Cpy f Birth Certificate (new members) Medical Release Frm and Waiver fr JT and TD. Athlete Inf and Applicatin Parent Obligatin and Financial Agreement with credit card inf. First installment f $176.00 in cash r check nly. Welcme t the Flrida Tp Dg All-Stars! We are hnred that yu have selected ur prgram and we welcme yu t ur Ohana! Our missin at Tp Dg is t cntinue t strive t be ne f the tp cmpetitive cheer prgrams in the cuntry alng with instilling psitive characteristics that yur child will take with him/her int his/her future. Our gal each day is t teach ur athletes the value f cmmitment, teamwrk, integrity, leadership, self-cnfidence and t allw them t create memries that will last a lifetime. Prep Team AGES - (As f Aug. 31, 2017) Senir:... Ages 11-18 Junir:... Ages 8-14 Yuth:... Ages 6-11 Mini:... Ages 5-8 Tiny.. Ages 5-6 ALL-STAR PREP LEVELS There are up t 3 cmpetitive levels f teams that can be frmed based n the amunt f athletes that tryut. Within thse levels, different age grups can be selected. Level 1 being the beginning level with level 3 being the mst advanced level. These levels make evaluatins less stressful as we are able t make as many teams as pssible frm beginners all the way t the mre advanced athlete. Page 1 f 1
All-Star Prep Prjected Activities Nv. 29... Dec. 8... Mandatry Parent Inf Meetings -- (7:00pm) Tryuts (6:00-8:30 p.m.)-clsed t spectatrs Team selectin will be psted by numbers n ur website. A private passwrd will be given at tryuts t access this page. * Tryuts/Evaluatins are clsed t parents and spectatrs. Dec. 13. Unifrm Sizing and practice fr all teams. 6:30-8:00 Dec. 18... * Weekly Practices Begin * Schedule t be psted n website after Tryuts. (Mnday/Wednesday) r (Tuesday/Thursday) will be the practice days fr teams. December 25-January 1 Gym Clsed January 2... January 3... January 20... February 10... April 4 and 5... Gym Repens Practices Resume Chregraphy at the gym Time TBA Pssible Chregraphy r practice Shwcase and Awards fr Teams (at the gym) Cmpetitin Dates fr Sessin All-Star Prep: The dates listed belw are nly pssible dates. Mre r less culd be added. March 3... All-Star Challenge - "Return t Atlantis" -- (Orland, FL) - (Sessin 2) March 24..... American Champinships - "The American Open" -- (Orland, FL) - (Sessin 2) April 7... Cheer Pwer - "Turnament f Champins" -- (Tampa, FL) - (Sessin 2) Page 1 f 1
Tp Dg Pwer Pack Csts Cmpetitive cheerleading is an expensive sprt and families shuld carefully cnsider the csts invlved befre cmmitting. Flrida Tp Dg has ne f the best air-cnditined state-f-theart facilities in the state. Our facility encurages prgressive skill learning as athletes can safely accmplish new skills by using ur in-grund apparatuses and variety f tumbling surfaces and equipment. We are pen and up frnt with ur fees and have built in a mnthly charge that cvers mst f the expenses thrughut the year. All fees will be paid directly t Flrida Tp Dg All-Stars. In ding this, each cheerleader has the pprtunity t raise 100% f his/her share f participatin expenses. Athletes can raise their funds thrugh spnsrships as well as fundraising ffered. All funds turned in are cnsidered spnsrship and dnatins t the Flrida Tp Dg All-Stars; therefre if a cheerleader quits r is dismissed frm the team, n mney will be refunded nr can mney be requested t transfer t anther cheerleader. Flrida Tp Dg All-Stars is a nt-fr-prfit 501(c)3. Csts Five mnthly Installments will include gym fee as well as all-star fees. Gym fees cver yur child s practice times and all-star fees cver cmpetitin fees, rutine music, bw, gym registratin, insurance, administratin and caches fees, end f the year awards, and cmpetitin unifrm fr Half Seasn Teams. A $45 tryut fee must be paid nline in rder t register t participate in the tryut selectin. The first installment f $176.00 is paid the first day f tryuts (cash r check nly). First installments will be depsited after the first practice. If a cheerleader des nt make a team r chses nt t cheer, the first installment will be refunded as lng as he r she has nt attended practice. N gym fee discunt is given t athletes n half seasn prep teams. Mnthly Csts are listed belw: Half-seasn - Pwer Pack - (Sessin 2) *December $176.00 (Gym-$26.00/ All-Star- $150) January -April:... $220 per mnth (Gym - $70 / All-Star - $150) *Sessin 1 Returning Athletes: N payment fr December. Start January 1 with $220 per mnth. See belw fr inf n unifrm credits. Page 1 f 3
Tp Dg Pwer Pack Csts All-Star Fees D Nt include: USASF Gym Membership: $30 Htel and Travel if applicable Shes if needed. Make-up Kit ($55 plus tax) Team Shirt ($25 plus tax) Additinal tumbling/jump classes are NOT included in Gym fees. Mnthly classes will be given at a discunted rate fr Tp Dg Athletes: $30 a mnth fr 1 class per week -- (4 classes ttal) $55 fr 2 classes per week $80 fr 3 classes per week Athletes must sign up nline n ur JUST TUMBLIN Prtal and must pay at the frnt desk t get the mnthly discunted rate. Financial Infrmatin and Payment Plicy Yu will be paying mnthly dues that will be deducted frm yur credit/debit card at the beginning f each mnth. All team members must have a Credit Card Authrizatin Frm n file fr their accunt. This frm will be due with the tryut packet and returned if the athlete des nt make the team. All Tp Dg fees will be billed n r by the 1st f each mnth. All fees must be paid in full n r by the 1st f each mnth. On the 2 nd f each mnth, any utstanding balances will be charged t yur credit card. Once yur child has been placed n a team, yu must g nline t yur parent prtal and input yur payment infrmatin. Select manage payment ptins and chse hw yu want yur fees t be paid. Yur credit/debit/e-check numbers will be stred and drafted n the 8th f the mnth thrugh yur nline accunt. Aut-pay is nt saved n ur cmputer nr is it saved within iclass pr. It is saved by the Payment Gateway Prgram. Even thugh all families are required t be n Aut-pay, yu may still make payments at the frnt desk by using cash, mney rder, check r credit card. These payments must be made n r befre the 1st f the mnth. THIS INCLUDES CHEERBOOSTER PAYMENTS. Page 2 f 3
Tp Dg Pwer Pack Csts Any payments resulting in NSF, declined credit card r expired credit card will incur a $30 service charge. Return checks and fees must be paid in cash. It is yur respnsibility t update yur infrmatin if yur infrmatin changes. An athlete s accunt must be current and in gd standing in rder t participate in practices, private lessns, cmpetitins, and special events. Flrida Tp Dg reserves the right t remve any athlete frm his/her team fr failure t keep up with financial bligatins. All accunts must be current befre an athlete may cllect any clthing/unifrms, r ther retail items. If an athlete chses t leave, r is asked t leave fr any reasn befre the seasn is ver, any and all funds are nn-refundable. Gym fees and All-star fees cannt be pr-rated (except December) and will nt be adjusted during times the gym is clsed, vacatin days, practices cancelled, etc. Sessin 1 athletes that cheered frm May 2017-December 207 fr the cmplete Sessin- A $210 unifrm credit and a $20 bw credit will be given n installments if the athlete des nt need a new unifrm r a new bw, given that we keep the same bw fr each sessin. $150 credit is applied twards the December all-star payment and $80 credit will be applied twards the April 1 st all-star fee. Page 3 f 3
All-Star Prep Parent & Athlete Plicies 1. Attendance is crucial t team success. An absent request frm is available nline and must be filled ut prir t the absence. Absences and tardiness will be nted and reviewed n a regular basis. An athlete wh accumulates 3 unexcused absences may be dismissed frm the team. An athlete with mre than 7 absences (excused and unexcused cmbined) may be dismissed frm the team (This des nt include summer misses.). Extreme circumstances such as injury may be taken int cnsideratin. Excused reasns fr being absent: a. Death in the family. b. An Illness that is s severe that it prevents the athlete frm being at practice and watching t see if any changes are being made t the rutine and his/her psitin. Parents must call the caches at hme r at Just Tumblin befre the scheduled activity t ntify f absence. c. Special circumstances that may be apprved by the cach. d. Religius Hlidays. Unexcused reasns fr being absent: a. Lessns f any kind (pian, dance, etc.) b. Dctr r dentist appintments, unless it is an emergency. Appintments shuld be scheduled s they will nt cnflict with cheerleading activities. c. Jbs. If an athlete takes n the respnsibility f a jb, it must be scheduled s that it will nt cnflict with cheerleading duties. d. Family utings r vacatins after the schedule has been set. This includes hlidays. e. Cncerts f. Schl activities nt classified under Special Circumstances. g. Invlvement in ther sprts r teams. h. Dn't have a ride. i. Have t much hmewrk, need t study fr a test, etc. j. Withhlding yur child frm practice as a frm f discipline. 2. Tardiness -- If an athlete is mre than 10 minutes late t a practice r leaves mre than10 minutes early frm a practice, it is cnsidered an unexcused tardy. Three unexcused tardies will be cunted as ne unexcused absence. It will be at the cach s discretin as t whether the tardy is cnsidered excused r unexcused. If a cheerleader is absent fr mre than half f the practice, it is cunted as an absence. Please see reasns fr excused and unexcused absences. 3. Athletes may participate n schl and recreatin teams with the understanding that all Tp Dg practices, cmpetitins, and activities take first pririty. Tp Dg practices missed due t a schl r rec. squad cnflict will be UNEXCUSED. Athletes will be allwed t cmpete with their high schls as lng as they cmpete within the guidelines that have been set fr Pinellas Cunty Schls. If an athlete misses a Tp Dg cmpetitin due t a schl cheerleading cmpetitin, she/he will be remved frm the team. Athletes will nt be allwed t cmpete n anther all-star team during the Tp Dg Cheer Seasn. Page 1 f 3
All-Star Prep Parent & Athlete Plicies 4. Athletes may nt take any absences ne week befre the first cmpetitin f the seasn and an absence ne practice befre any ther cmpetitin. If he/she misses a practice ne week prir t the cmpetitin, then he/she will have t sit ut f ne cmpetitin. An athlete wh is ill shuld still cme t practice. The cach can send him/her hme if illness is severe. Extreme circumstances will be determined by the caching staff. 5. Practices will be planned depending n the needs f the squad. If necessary, additinal practices, and even Sunday practices, may be scheduled t prepare fr cmpetitins. (There is n extra gym charge fr additinal practices r hurs.) Caches may schedule practices fr everyday f the week ne week prir t a large cmpetitin if a team is in need f extra practice. 6. Encurage gd sprtsmanship by being an example. Be psitive in cmmunicating with yur teammates. We will nt tlerate bad muthing ther all-star prgrams, teammates, caches etc. frm ur athletes and/r parents. 7. N jewelry shuld be wrn during practices and cmpetitins. Cell phnes shuld be put away. 8. We are nt respnsible fr lst r stlen items. 9. Practice Shrts r sweats shuld nt be rlled mre than ne time. Female athletes need t wear blmers r spandex shrts under their practice shrts. Cheerleaders are required t wear a bw fr each practice. 10. Athletes are required t stay with the team befre, during, and after each cmpetitin until prperly dismissed by the caches. This includes vernight trips and practices. If a parent chses t pull an athlete frm practice r an event withut the permissin frm the cach, it will be interpreted that the parent is pulling the athlete ff the team and will have the same cnsequences as when an athlete quits. Athletes must abide by Tp Dg rules until dismissed by their caches. 11. Due t the fact that sme cmpetitins require a day r tw fr travel, athletes may need t miss a few days f schl in rder t travel with the team. Athletes are respnsible fr ntifying their schl and btaining schlwrk frm their teachers. Please d nt schedule travel time that will cnflict with practices. It is nt ptinal fr an athlete t chse whether r nt he r she will cmpete at an event. 12. Parents are required t prvide transprtatin and ldging if applicable t all cmpetitins. Parents need t prvide prper supervisin fr their athlete. 13. An athlete is a leader and shuld be an example t all. If an athlete is fund t have been drinking, smking, using drugs, stealing, lying, using ful language, r invlved in any immral behavir upn arrival r during any Tp Dg activity, it will be grunds fr dismissal r suspensin frm the team at the caches discretin. 14. All athletes must strive t maintain a 2.0 grade pint average. Educatin is very imprtant and is ne f the many ways f being a gd example t thers and uphlding high standards fr the team. Page 2 f 3
All-Star Prep Parent & Athlete Plicies 15. If an athlete becmes injured r severely ill, and is nt capable f perfrming his/her duties prir t a cmpetitin, he r she may be replaced by anther athlete. The participant pass r ticket is then given t the athlete that is replacing the injured athlete. If the injured athlete wants t still attend the event, then he r she must purchase a spectatr pass int the cmpetitin. Once the injured athlete is cleared by the dctr t return t activities, it will be up t the TD staff t determine if the athlete is ready t cmpete. If an athlete misses a cmpetitin fr any reasn, the athlete will be replaced with anther athlete. 16. All funds turned in are cnsidered spnsrship and dnatins t the Flrida Tp Dg All-Stars; therefre if an athlete quits r is dismissed frm the team, n mney will be refunded nr can mney be requested t transfer t anther athlete. 17. If an athlete quits r is dismissed frm the team, he r she relinquishes the right t any items that have nt been distributed. Special rder items bught thrugh the Cheer shp will need t be picked up within 30 days f delivery date. After 30 days, the item will be put back n the shelf t sell and mney will nt be refunded. 18. The caches maintain the right t dismiss r suspend an athlete at any time fr breech f the Tp Dg Plicies and/r Cheerleading Cntract. In the best interest f each team, the cach has the right t suspend r dismiss an athlete at any time if he r she feels that an athlete s behavir r actins have brught discrd and/r dissentin amng the team. Please see items #20 and #21 fr plicies regarding funds and Tp Dg items. 19. Once an athlete quits a team r is dismissed, he/she will nt be allwed t rejin the team fr the remainder f the seasn. If a parent chses t pull an athlete frm a team fr academic r disciplinary reasns, the athlete will nt be able t rejin the team fr the remainder f the seasn. Extreme circumstances will be determined by the staff. 20. Athletes must refrain frm using scial media fr vicing frustratins and cmplaints regarding their teammates, caches, the prgram, etc. The athlete shuld nt engage in negative banter between ther all-star prgrams. All psts shuld uphld the psitive standards that Tp Dg requires f their athletes. Psitive standards include refraining frm using ful language, as well prfanity abbreviatins, and psting phts that are inapprpriate. 21. Mst f ur cmmunicatin is dne thrugh email and thrugh team facebk pages. Please check this regularly. 22. Yu cannt create r sell yur wn Tp Dg clthing using the Flrida Tp Dg Name, Lgs, r specially designed team lgs. 23. Due t the busy nature f ur facility and prgrams, we ask that athletes d nt arrive mre than 15 minutes prir t their scheduled practice/class time unless they have permissin frm their cach t cme in early t wrk n necessary skills fr their rutine. Page 3 f 3
All-Star Prep Parent Cmmitment My sn/daughter is trying ut fr the Flrida Tp Dg All-Star Prgram. If he/she makes a team, I cmmit myself t the fllwing: I will prvide transprtatin t and frm practices, fundraisers, and ther activities. I will prvide transprtatin and/r ldging fr cmpetitins. I will call the caches when my sn/daughter will be absent frm a cheerleading activity. I will schedule all family vacatins s they will nt cnflict with the cheerleading activities having been given the cheerleading schedule in advance. I understand the imprtance f this sacrificial cmmitment and hw it affects the entire team. I understand a cach has the right t suspend r dismiss my child frm a cmpetitin/team if he/she vilates the athlete prmise r Tp Dg Cnstitutin. I understand that my child may be mved t a different team during the curse f the seasn if there is a change in his/her skill level. I agree t pay any difference f fees if applicable. I agree t encurage my sn/daughter t uphld the standards and guidelines set frth in the Tp Dg s Cnstitutin. I agree t bring ALL cmplaints directly t the caches and will refrain frm discussing prblem matters with ther parents r athletes. I understand that discussing cmplaints amng parents can affect the mrale f the team. I understand that my actins culd affect my child s psitin in the Tp Dg prgram including remval if I d nt abide by the parent cmmitment cntract that I have signed. I have read and fully understand all f the material included in this packet. Financial Cmmitment I have read the plicies in regards t the financial bligatin and fully understand these plicies. I understand that my cmmitment is fr the 2017-2018 cmpetitive seasn. I understand that I am giving my credit card/debit card infrmatin and that infrmatin will be used if I d nt meet my payment deadlines t Flrida Tp Dg All-Stars. I will infrm the Tp Dg ffice if my credit/debit card infrmatin changes. I understand that I will be given the pprtunity t raise a prtin f these funds thrugh fundraising and all mnies turned in becme the prperty f Tp Dg All-Stars and will nt be refunded if my child quits, is dismissed, r has t leave the team fr any reasn. I understand that I am entering int this prgram f my wn free will. Father's Signature Date Mther's Signature Date Name as it appears n the card: Billing Address: Type f Card: Expiratin Date: CVC n back: Credit Card Number: Card Hlder Cell Number: Page 1 f 1
All-Star Prep Applicatin (Age as f) Athlete's Name: Birth Date: August 31, 2017: (Schl Year) Schl: Grade (2017-2018): Address: City: State: Zip: Athlete's Cell: Athlete's Email: (Parent/Legal Guardian) Name: (Parent/Legal Guardian) Cell: (Parent/Legal Guardian) Email: Hme Phne: Wrk Phne: * Please put in email addresses since mst f ur crrespndence is dne thrugh email thrughut the seasn. Persnal Infrmatin: 1. Are yu currently r planning t be a member f any club r team that requires practice time? If yes, please list belw: 2. Please list vacatins planned fr the year s that we may determine if there will be a cnflict with the Tp Dg schedule: 3. Please check the fllwing that yu are experienced in. Please check all that apply: Flying Basing Tumbling 4. If yu are a flyer, what is f mre imprtance? (Please check ne f the fllwing that apply) - Being n a team that is leveled t yur verall skill. - Being n a team where yu wuld have a better chance f flying even if it meant being n a lwer level team. I am a returning athlete frm Sessin 1 (May-December 2018) I agree t uphld the standards in this packet if I am selected t cheer fr the Flrida Tp Dg All-Stars. Athlete Signature: Date: Page 1 f 1
All-Star Prep Athlete Inf Sheet Athlete's Name: Birth Date: Schl (2017-2018): Grade (2017-2018): Athlete's E-mail address: Athlete's Cell #: Hme #: Athlete's Hme address: City: State: Zip: Please circle each year/seasn yu have cheered n a team at Tp Dg: 2000-2001 2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 (GIRLS - Clthing Sizes) Sprts Spandex T-Shirt: Tank Tp: Sweatshirt: Bra: Shrts: (BOYS - Clthing Sizes) Cmpressin T-Shirt: Tank Tp: Sweatshirt: Shirt: Shrts: * Whse cell # wuld yu like me t use when I am sending ut inf in a mass grup txt? (Circle all that apply) Mm Step-Mm Dad Step-Dad Legal Guardian Mm's Name: E-mail address: Cell #: Step-Mm's Name: E-mail address: Cell #: Dad's Name: E-mail address: Cell #: Step-Dad's Name: E-mail address: Cell #: Legal Guardian's Name: E-mail address: Cell #: Page 1 f 1
Frm All-Star Prep Medical Release Athlete's Name: Tday's Date: - - Date f Birth: Age (As f August 31,2017): Gender: Schl: Grade (Schl Year 2017-2018): Address: City: State: Zip: (Athlete) Email: (Parent) Email: Hme Phne: (Athlete's) Cell: Mther's Name: (Mther's) Cell: Father's Name: (Father's) Cell: Emergency Cntact Persn: (Emergency) Cell: Medical Ins. C.: Plicy #: Des Athlete have Allergies? Yes N (If yes, please explain.) JUST TUMBLIN' ~ 1200 Starkey Rd. Suite 210 ~ Larg, FL 33771 (727) 585-7777 ~ Fax (727) 585-7774 Page 1 f 1
ACKNOWLEDGEMENT OF RISK - WAIVER OF LIABILITY - INDEMNIFICATION - & CONSENT As legal guardians f, I hereby cnsent t the afrementined persn participating in Flrida Tp Dg All-Stars, Inc., (hereinafter referred t as Tp Dg ) prgrams, including, but nt limited t, cmpetitin and practice. I recgnize that ptentially severe injuries can ccur in any activity invlving height and/r mtin, including tumbling, stunting, jumping, cheerleading, and ther related activities, including trampline and dance. It is recmmended that a physical be perfrmed by a medical dctr prir t participatin in the afrementined enumerated activities fr the child s benefit. By virtue f the executin f this dcument, I hereby affirmatively state that my child is physically able t participate in any and all Tp Dg activities. NOTICE TO THE MINOR CHILD S NATURAL GUARDIAN: READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF JUST TUMBLIN USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM, YOU ARE GIVING UP YOUR CHILD S RIGHT AND YOUR RIGHT TO RECOVER FROM JUST TUMBLIN IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND JUST TUMBLIN HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM. In cnsideratin fr allwing my child t use the facilities identified as the Just Tumblin gym, as well as ther lcatins, where cheerleading cmpetitin and/r exhibitins may ccur, I hereby frever release Tp Dg, a nt-fr-prfit entity, its emplyees, instructrs, caches, agents, and any ther vlunteers, frm any and all liability, fr any and all damages and/r injuries, suffered by my child while under the instructin, supervisin, r cntrl, direct r indirect, f Tp Dg, its emplyees, instructrs, caches, and agents, and any and all ther vlunteers, whether caused by their wn negligence r therwise. As legal guardian f the afrementined persn, I herby acknwledge that it is my sle respnsibility t prvide fr any medical expenses r ther attendant csts which may be incurred by my child as a result f any injury sustained while under the instructin f Tp Dg, its emplyees, instructrs, caches, agents, and any and all ther vlunteers. In recgnitin f the executin f this Acknwledgment f Risk, Waiver f Liability, Indemnificatin, and Cnsent, I further agree t indemnify Just Tumblin, its emplyees, instructrs, caches, agents, and any and all ther individuals acting n behalf f an f the afrementined individuals r entities, frm any claim fr damage r injury f said child, including reasnable attrney s fees incurred in defending any such claim. This Acknwledgment f Risk, Waiver f Liability, Indemnificatin, and Cnsent, having been read and understd cmpletely, is signed vluntarily as t its cntent and intent. This Acknwledgment f Risk, Waiver f Liability, Indemnificatin, and Cnsent shall cntinue in full frce and effect until such time as revked, in writing, by the undersigned, withut limitatin as t its duratin, as it is acknwledged and understd that my child shall participate in cheerleading and/r tumbling activities, including, but nt limited t, practice, exhibitins, and ther related activities, n an n-ging basis. The undersigned further acknwledge and agree that Tp Dg shall be granted specific permissin t use the image and/r likeness f the afrementined child fr any purpse as deemed applicable by Tp Dg, including phtgraphs and/r videtape, and t further use said child s name, face, likeness, vice, and appearance in cnnectin with exhibits, publicity, advertising, and prmtinal materials withut reservatin r limitatin as t the duratin f the cnsent. The undersigned expressly agrees that this Acknwledgment f Risk, Waiver f Liability, Indemnificatin, and Cnsent is intended t be as brad and inclusive as permitted by the laws f the State f Flrida, and that if any prtin f this dcument is held invalid, it is agreed that the balance shall, ntwithstanding, cntinue, in full legal frce and effect. The undersigned further acknwledges that he/she is authrized t execute this Acknwledgment f Risk, Waiver f Liability, Indemnificatin, and Cnsent n behalf f the child and the parents, guardian, legal representative, persnal representative, assigns, heirs, and next f kin. I authrize Tp Dg t retain and rely upn any dcument executed including but nt limited t the Release in electrnic frm and shall nt challenge its authenticity in the event the riginal is destryed after electrnic preservatin. Father s Signature Date Mther s Signature Date Legal Guardian Signature Date Page 1 f 1
ACKNOWLEDGEMENT OF RISK - WAIVER OF LIABILITY - INDEMNIFICATION - & CONSENT As legal guardians f, I hereby cnsent t the afrementined persn participating in Terrick Training,Inc., d/b/a Just Tumblin (hereinafter referred t as Just Tumblin ) prgrams, including, but nt limited t, cmpetitin and practice. I recgnize that ptentially severe injuries can ccur in any activity invlving height and/r mtin, including tumbling, stunting, jumping, cheerleading, and ther related activities, including trampline and dance. It is recmmended that a physical be perfrmed by a medical dctr prir t participatin in the afrementined enumerated activities fr the child s benefit. By virtue f the executin f this dcument, I hereby affirmatively state that my child is physically able t participate in any and all Just Tumblin activities. NOTICE TO THE MINOR CHILD S NATURAL GUARDIAN: READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF JUST TUMBLIN USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM, YOU ARE GIVING UP YOUR CHILD S RIGHT AND YOUR RIGHT TO RECOVER FROM JUST TUMBLIN IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND JUST TUMBLIN HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM. In cnsideratin fr allwing my child t use the facilities identified as the Just Tumblin gym, as well as ther lcatins, where cheerleading practice, cmpetitin, exhibitins, and any ther use, as designated by Just Tumblin may ccur, I hereby frever release Just Tumblin, its emplyees, instructrs, caches, agents, and any ther vlunteers, frm any and all liability, fr any and all damages and/r injuries, suffered by my child while under the instructin, supervisin, r cntrl, direct r indirect, f Tp Dg, its emplyees, instructrs, caches, and agents, and any and all ther vlunteers, whether caused by their wn negligence r therwise. As legal guardian f the afrementined persn, I herby acknwledge that it is my sle respnsibility t prvide fr any medical expenses r ther attendant csts which may be incurred by my child as a result f any injury sustained while under the instructin f Just Tumblin, its emplyees, instructrs, caches, agents, and any and all ther vlunteers. In recgnitin f the executin f this Acknwledgment f Risk, Waiver f Liability, Indemnificatin, and Cnsent, I further agree t indemnify Just Tumblin, its emplyees, instructrs, caches, agents, and any and all ther individuals acting n behalf f an f the afrementined individuals r entities, frm any claim fr damage r injury f said child, including reasnable attrney s fees incurred in defending any such claim. This Acknwledgment f Risk, Waiver f Liability, Indemnificatin, and Cnsent, having been read and understd cmpletely, is signed vluntarily as t its cntent and intent. This Acknwledgment f Risk, Waiver f Liability, Indemnificatin, and Cnsent shall cntinue in full frce and effect until such time as revked, in writing, by the undersigned, withut limitatin as t its duratin, as it is acknwledged and understd that my child shall participate in cheerleading and/r tumbling activities, including, but nt limited t, practice, exhibitins, and ther related activities, n an n-ging basis. The undersigned further acknwledge and agree that Just Tumblin shall be granted specific permissin t use the image and/r likeness f the afrementined child fr any purpse as deemed applicable by Just Tumblin, including phtgraphs and/r videtape, and t further use said child s name, face, likeness, vice, and appearance in cnnectin with exhibits, publicity, advertising, and prmtinal materials withut reservatin r limitatin as t the duratin f the cnsent. The undersigned expressly agrees that this Acknwledgment f Risk, Waiver f Liability, Indemnificatin, and Cnsent is intended t be as brad and inclusive as permitted by the laws f the State f Flrida, and that if any prtin f this dcument is held invalid, it is agreed that the balance shall, ntwithstanding, cntinue, in full legal frce and effect. The undersigned further acknwledges that he/she is authrized t execute this Acknwledgment f Risk, Waiver f Liability, Indemnificatin, and Cnsent n behalf f the child and the parents, guardian, legal representative, persnal representative, assigns, heirs, and next f kin. I authrize Just Tumblin t retain and rely upn any dcument executed including but nt limited t the Release in electrnic frm and shall nt challenge its authenticity in the event the riginal is destryed after electrnic preservatin. Father s Signature Date Mther s Signature Date Legal Guardian Signature Date Page 1 f 1