Athlete Waiver for Guest Gyms and Schools Gym Name * Team Name * Guardian's Name * First Name Last Name Guardian's Email * Guardian's Phone Number * Guardian's DOB * MM DD YYYY Child's Name * First Name Last Name Child's DOB * MM DD YYYY Emergency Contact * First Name Last Name Relation to Child * Emergency Contact Phone * Please Scroll and Provide Electronic Signature of Consent Below. Mustang Cheer LLC Medical and Liability Waiver: Statement of Medical Condition, Assumption of Risk, Release and Indemnification Check to receive promotions, updates, discounts, and news by e-mail from Mustang Cheer. You can unsubscribe at any time. * By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary. Electronic Signature of Consent * I am either the Participant (18 years old) or the parent or legal guardian of the Participant. I have read the above "Mustang Cheer LLC Medical and Liability Waiver: Statement of Medical Condition, Assumption of Risk, Release and Indemnification" and "Use of Picture(s)/Film/Likeness" policy I understand, agree, and consent to all terms therein on both my behalf and if applicable, on behalf of my minor Participant. Today's Date * MM DD YYYY Thank you!
