Registration Form – Fyerce Elite Allstars

My child is interested in cheering with F'yerce Elite Cheer. I/We understand I/We will be required to sign a code of conduct contract, as well as a COVID and Safety waiver before the beginning of the season. I/We promise to abide by the rules and regulations set forth by F'yerce Elite Cheer. I/We promise to cooperate and follow the instructions of the F'yerce Elite coaching staff.

I/We agree with the above statements *YesNoWaiver Statement

Cheerleaders First Name *

Last name *

New or Returning athlete *NewReturning

Age *

Date Of Birth *

Guardians / Parent First Name *

Last Name *

Address line 1 *

City *

Zip Code

Phone Number *123-123-1234

Email *

Select all that apply below: *I am interested in CoachingI am interested in being a team momI am interested in being on a parent Committeehave a child interested in applying to be a junior coach (High School Students Only)

Emergency Contact First Name *

Last Name *

Relationship *

Do you have health insurance ? *YesNo

Does your child have any allergies, chronic illness, or medical conditions that would limit high level activity ?tivtiy? *YesNo

Parental Permission For Emergency Treatment In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to: I give consent for the facility to secure any and all necessary emergency medical care for my child.

Name of Physician / Emergency Medical Care Facility *

Although the safety is the primary concern for each athlete, I understand the that injuries and/or death may result from our willing participation with competitive cheer with F'yerce Elite Cheer. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against F'yerce Elite Cheer, it's agents, gym owner and it's participants.

I have read and agree to the above conditions *YesNo

Electronic Signature *

Todays Date *