All Athletes Must Have A Waiver On File To Participate

"*" indicates required fields

Athlete's Name*
Date Of Birth*
Parent/Guardian Name*
Date Of Birth*
Additional Parent/Guardian Name
Date Of Birth
Emergency Contacts*
Participation Waiver*

1. RELEASE & INDEMNITY: I am aware that cheerleading and gymnastics are hazardous activities, and my child is voluntarily participating in this activity with our full knowledge of the danger involved and hereby agree to accept any and all risks of property damage, personal injury or death. I hereby release Kimberly Gorman, Central Sports LLC and ECE Central, and any of their instructors or agents from any present and future claims, including negligence for property damage, personal injury, or wrongful death, arising from my child’s participation in cheerleading and gymnastics activities. Furthermore, I hereby voluntarily waive any and all claims, both presents and future, arising from my child’s participation in cheerleading and gymnastics activities, including but not limited to negligence, property damage, personal injury, and wrongful death. I understand that cheerleading and gymnastics involve certain risks, including but not limited to, travel to and from the site of any future activity, physical contact and the possible reckless conduct of other participants. These risks also include but are not limited to death, serious neck and spinal injuries resulting in complete or partial paralysis, brain damage, and serious injury to virtually all bones, joints, muscles and internal organs. I further understand that cheerleading and gymnastics involves these risks despite the full attention of skilled instructors. I understand that I am responsible for my child before and after class. I take responsibility if I do not enter the building to drop off or pick up my child. I agree to hold harmless Kimberly Gorman, Central Sports LLC, ECE Central, its employees, volunteers and any agents from any claims or liability related to an accident or incident that may occur.

2. READINESS TO PARTICIPATE: I will do all to ensure that my child follows the rules and instructions given by the instructors at all events, cheerleading competitions and training/instructions sessions. I understand that my child may be temporarily or definitely suspended from any team due to behavior, tardiness and/or missed practices in which ECE Central owners, employees, volunteers, and any gym agents may deem unacceptable. I further understand that under any of these circumstances NO REFUNDS are given. This includes ALL fees. I also understand that at any time my child may be moved from one team to another based upon current skill and attitude. This will be at the discretion of Central Sports LLC and ECE Central staff. By signing this form I am also agreeing to all terms and conditions outlined in the “PARENT/CHEERLEADER RULES & REGULATIONS CONTRACT”. (Parents responsibility, gym dress code, competition dress code, cheerleader rules of conduct, tardiness and absences, inclement weather policy, privates, competition schedule, fundraising, website, quitting the program, grants etc...) I understand if my child is a member of a team, missed practices cannot be made up.

3. MEDICAL ATTENTION: I give Central Sports LLC/ECE Central and its staff permission to transport my child to the nearest hospital in the event of an emergency. I further consent to medical treatment if necessary if the named parent/emergency contact cannot be reached.

4. PICTURE/NAME PERMISSION: I agree to allow my child’s picture, name and or likeness to appear in any Central Sports LLC/ECE Central advertisements, websites and competition photographs, which may or may not be used for further magazine/paper/lobby advertisements for Central Sports LLC/ECE Central.

Assumption Of Risk And Waiver Of Liability Relating To Coronavirus (Covid-19)*

The Coronavirus, Covid-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, State, and local governments and health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. ECE Central (“ECE”) has put in place preventative measures to reduce the spread of Covid-19, however, ECE cannot guarantee that you or your child(ren) will not become infected with Covid-19. Further, attending ECE could increase your risk and your child(ren)’s risk of contracting Covid-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending ECE and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of Becoming exposed to or infected by COVID-19 at ECE may result from the actions, omissions, or negligence of myself and others, including, but not limited to ECE employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at ECE or participation in ECE programming (“Claims”). On my behalf, and on behalf of my children, I hereby release Kimberly Gorman, Central Sports LLC, and ECE Central, and any of their instructors or agents from the Claims, including all liabilities, claims, actions, damages, costs, or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of ECE, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any ECE program. Athlete and Guardian agree to abide by the ECE Central Social Distancing Guidelines while participating in both indoor and outdoor activities on the premises of ECE Central.