PARTY Waiver Form

Birthday for ___________________________ Party Date ______________Party Time ________

Guest’s Name ________________________ Phone__________________ DOB ______________

Address ______________________________________________________________________

Emergency Contact _______________________Emergency#________________

I realize that I am responsible for all medical expenses for my child that may be needed due to their participation at New Jersey’s Cheer Factory LLC, and/or under your supervision.

I understand that participation in cheerleading and tumbling gymnastics along with related Activities involves motion, rotation and height in a unique environment and as such carries with it the risk of injury. I am voluntarily allowing my child to participate in this Activity with knowledge of the risks involved, and hereby agree to accept any and all inherent risks of property damage, personal injury or death. I hereby release New Jersey’s Cheer Factory LLC, its affiliates, agents, owners and employees from any liability for accidents while participating at New Jersey’s Cheer Factory LLC.

I hereby state that my child has no mental or physical conditions that prohibit full participation in such Activity. I also agree to inform New Jersey’s Cheer Factory LLC of any condition that New Jersey’s Cheer Factory LLC staff should be aware of in dealing with the student during normal Activities or in case of any emergency.

All safety rules must be observed. No one is allowed on any equipment unless supervised by New Jersey’s Cheer Factory staff. No jewelry is to be worn and no food or gum will be consumed in the gym. New Jersey’s Cheer Factory LLC will not be responsible for any personal items.

Print Parent/Guardian’s Name ___________________________________

Signature ____________________________________ Date ___________________

PARTY Waiver Form

Birthday for ___________________________ Party Date _______________Party Time _________

Guest’s Name ________________________ Phone____________________ DOB ______________

Address ______________________________________________________________________

Emergency Contact _______________________ Emergency#________________

I realize that I am responsible for all medical expenses for my child that may be needed due to their participation at New Jersey’s Cheer Factory LLC, and/or under your supervision.

I understand that participation in cheerleading and tumbling gymnastics along with related Activities involves motion, rotation and height in a unique environment and as such carries with it the risk of injury. I am voluntarily allowing my child to participate in this Activity with knowledge of the risks involved, and hereby agree to accept any and all inherent risks of property damage, personal injury or death. I hereby release New Jersey’s Cheer Factory LLC, its affiliates, agents, owners and employees from any liability for accidents while participating at New Jersey’s Cheer Factory LLC.

I hereby state that my child has no mental or physical conditions that prohibit full participation in such Activity. I also agree to inform New Jersey’s Cheer Factory LLC of any condition that New Jersey’s Cheer Factory LLC staff should be aware of in dealing with the student during normal Activities or in case of any emergency.

All safety rules must be observed. No one is allowed on any equipment unless supervised by New Jersey’s Cheer Factory staff. No jewelry is to be worn and no food or gum will be consumed in the gym. New Jersey’s Cheer Factory LLC will not be responsible for any personal items.

Print Parent/Guardian’s Name ___________________________________

Signature ____________________________________ Date ___________________