"*" indicates required fields

Parent/Guardian Name*
Parent/Guardian Date Of Birth*
Participant Name Age School Name Allergies/Medical Conditions Actions
Waiver & Release of Liability*

By signing this form, I understand that tumbling/stunting and activities have risks, dangers, and hazards, and participation in such activities and/or use of such equipment may result in injury including, but not limited to bodily injury, strains, fractures, and other serious disabilities.

By signing this form, I, and my heirs agree to release, waive, discharge, hold harmless, defend and indemnify these classes (Victory Cheer & Tumble) and its instructors from any and all claims, actions, or losses for bodily injury, property damage, wrongful death or otherwise which may arise out of my use of equipment or my participation.

By signing this form, I understand no medical insurance benefits will be provided during this activity, and I will be responsible for any medical bills that may result from participating.