facility usage - cheer program
District Waiver
VOLUNTARY ACTIVITIES PARTICIPATION
ACKNOWLEDGMENT AND ASSUMPTION OF POTENTIAL RISK
I authorize my athlete, to participate in the District-sponsored cheer activities at Westmont High School.
I understand and acknowledge that these activities, by their very nature, pose the potential risk of serious injury/illness to individuals who participate in such activities.
I understand and acknowledge that some of the injuries/illnesses which may result from participating in these activities include, but are not limited to, the following:
1. Sprains/strains 2. Fractured bones
3. Unconsciousness 4. Head and/or back injuries
5. Paralysis 6. Loss of eyesight
7. Communicable diseases 8. Death
I understand and acknowledge that participation in these activities is completely voluntary and as such is not required by the District for course credit or for completion of graduation requirements.
I understand and acknowledge that in order to participate in these activities, I and my athlete agree to assume liability and responsibility for any and all potential risks that may be associated with participation in such activities. I further understand and acknowledge that my athlete must be covered by private medical insurance and/or student accident insurance to participate in this activity.
I understand, acknowledge, and agree that the District, its employees, officers, agents, and/or volunteers shall not be held liable for any injury/illness suffered by my athlete that is incident to and/or associated with preparing for and/or participating in this activity.
I understand and agree that any and all school and District rules apply during any and all events associated with preparing for and/or participating in this activity.
I acknowledge that I have carefully read this VOLUNTARY ACTIVITIES PARTICIPATION FORM and that I understand and agree to its terms.
This form must be completed, signed and on file in the Activities Office prior to participation in the above activity.