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Cheer Showcase Registration
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Participant's Full Name
*
First
Last
Date of Birth
*
Parent's/Guardian's Full Name
*
First
Last
Parent's/Guardian's Phone Number
*
Parent's/Guardian's Email
*
Emergency Contact's Name
*
First
Last
Emergency Contact's Phone Number
*
Current Grade
*
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Division
*
Youth (1-5th Grade)
Junior (6-8th Grade)
Senior (9-12th Grade)
Stunt Position Option
*
Flyer
Base
Backspot
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Headshot Upload
*
Click or drag a file to this area to upload.
Injury and Photo Release Waivers
Please sign your name
*
First
Last
In consideration for receiving permission to participate in the El Paso Top City Cheer and Dance Showcase. I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Alexsia Tucker, Monica Perez and any persons or programs affiliated with the El Paso Top City Cheer and Dance Showcase, from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage or injury, including death, that may be sustained by me, or to any property belonging to me. WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES, or otherwise, while participating in such activity, or while in, on or upon the premises where the activity is being conducted. I am fully aware of risks and hazards connected with cheerleading and I hereby elect to voluntarily participate (or allow my son/daughter to participate) in said activity.
Please sign your name
*
First
Last
I acknowledge and consent to allow El Paso Top City Cheer and Dance Showcase to use: photos and/or videos of my child in publications (such as flyers/brochures), on social media sites (such as the Twitter). I further understand no financial compensation will be for use of these photos/videos.
Please sign your name
*
First
Last
I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEES from any loss, liability, damage or costs, including court costs and attorneys' fees, that they may incur due to my participation in said activity, WHETHER CAUSED BY NEGLIGENCE OF RELEASEES or otherwise.
Please sign your name
*
First
Last
IN SIGNING THIS RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; and I execute this Release for full, adequate and complete consideration fully intending to be bound by same. (TYPE FULL NAME OF PARTICIPANT ABOVE/ IF UNDER 18, PLEASE TYPE PARENT/ GUARDIAN'S NAME)
Payment
Registration Fee
*
Price:
$70.00
Total
*
$0.00
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