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Programs
Cheerleading
Tumbling
Parkour
Preschool Classes
Birthday Parties
Leadership Zone
Events
Upcoming Events
Birthday Parties
Gym Rental
Camps
Summer Camps
Preschool Camps
PA Day Camps
Helpful Links
Sponsors
Waiver
Forms
Buddy Pass
Job Postings
Donation Request
Register On Amilia
Pro Shop
Important Links
Too Busy To Browse
NEW MEMBER SPECIAL
0
Waiver
Waiver
WAIVER
All Guests Are Required To Have A Waiver On File To Participate In Any Activities At Pegasus Cheer Athletics
Please Complete The Appropriate Waiver Below
Parent Waiver
Athlete 18+
Parent/Guardian Waiver
"
*
" indicates required fields
What Program Will You Be Attending?
*
Classes
Birthday Party
Playtime at Pegasus
Day Camp
Open Gym
Other
Name Of Birthday Child
*
Participant Name
*
First
Last
Date Of Birth
*
Month
Day
Year
Parent's Name
*
First
Last
Email
*
Parent/Guardian Phone Number
*
WARRANTY AND CONSENT OF PARENT/GUARDIAN
*
ASSUMPTION OF RISK
RELEASE AND WAIVER OF LIABILITY
INDEMNITY AGREEMENT
IN CONSIDERATION
of allowing my minor child/ward, (as mentioned below), to participate in the program, related events, and activities of Pegasus Cheer Athletics (herein after known as the “program”)
I WARRANT TO YOU THAT:
1. I am a parent/guardian having full legal responsibility for decisions regarding my minor child/ward, and
2. I understand that while participating in this program, my minor child/ward may be photographed and I agree to allow any and all video, photo, or film likeness to be used for any legitimate purpose by the program and its organizers, and
3. I am familiar with the risk of serious injury and death, which any participant in this program must assume, and
4. I believe that my minor child/ward is physically, emotionally, and mentally able to participate in this program, and that his/her equipment is mechanically fit for his/her use in this program, and
5. I understand and will instruct my minor child/ward that all applicable rules for participation must be followed and that at all times, the sole responsibility for personal safety remains with my minor child/ward, and
6. I will immediately remove my minor child/ward from participation and notify the nearest official if, at any time, I sense or observe any unusual hazard or unsafe condition or if I feel that my minor child/ward has experienced any deterioration in his/her physical, emotional, or mental fitness for continued participation in the program.
I UNDERSTAND AND AGREE, ON BEHALF OF MY MINOR CHILD/WARD, MYSELF, MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES, AND NEXT OF KIN THAT MY EXECUTION OF THIS DOCUMENT CONSTITUTES:
1. an unqualified ASSUMPTION OF ALL RISKS associated with participation in this program by my minor child/ward, even if arising from negligence or gross negligence, including any compounding or aggravation of injuries caused by negligent rescue operations or procedures of the program organizer and any persons associated therewith or participating therein, and
2. to consent to the provision of medical treatment upon my minor child/ward should such treatment be deemed advisable in the event of injury, accident, and/or illness. Medical treatment shall be considered to include, but not be limited to, standard first aid, the inclusion of emergency providers related to 911 procedures and services, and the permission to transfer said minor child/ward to a hospital should further emergency services be required and I am not available, and
3. a FULL AND FINAL RELEASE AND WAIVER OF LIABILITY of the program, its organizer(s), and all persons and organizations associated with it, including, without limiting the generality of the foregoing, its officers, directors, officials, agents, and/or employees, other participants, sponsors, advertisers, owners, and/or lessors of the premises used to conduct the program, sanctioning bodies, medical or rescue personnel (the RELEASEES), of and from with the respect to all injury, disability, death, or loss, or damage to person or property, whether arising from the negligence or negligent rescue of or by the foregoing or otherwise, and
4. an UNDERSTANDING NOT TO SUE the RELEASEES for any loss, injury, costs, or damages of any form or type, howsoever caused or arising, and whether directly or indirectly from the participation of my minor child/ward in the program, and
5. an AGREEMENT TO INDEMNIFY and to SAVE and HOLD HARMLESS the RELEASEES and each of them from any litigation expense, legal fees, liability, damage, award, or cost of any form or type whatsoever that may incur due to any claim made against them or any one of them, whether the claim is based on the negligence or the gross negligence of the RELEASEES or otherwise.
I HAVE READ THIS DOCUMENT THOROUGHLY.
I UNDERSTAND THAT THE RELEASEES ARE RELYING UPON MY WARRANTIES, ASSUMPTIONS, WAIVER, AND RELEASE UNDERTAKINGS AND AGREEMENTS WHEN ACCEPTING MY MINOR CHILD/WARD’S PARTICIPATION IN THIS PROGRAM.
I UNDERSTAND THAT BY SIGNING THIS DOCUMENT, I GIVE UP SUBSTANTIAL LEGAL RIGHTS AND I AND/OR MY MINOR CHILD/WARD WOULD OTHERWISE HAVE.
I UNDERSTAND AND AGREE THAT THIS WAIVER AND RELEASE SHALL BE CONSTRUED BROADLY TO PROVIDE A RELEASE AND WAIVER TO THE MAXIMUM EXTENT PERMISSIBLE UNDER APPLICABLE LAW.
I SIGN THIS DOCUMENT VOLUNTARILY AND WITHOUT INDUCEMENT. I understand that by signing this waiver, I am agreeing to receive occasional emails from Pegasus Cheer Athletics and its affiliates. I understand that I may opt out of these emails at any time.
COVID-19 POLICY AGREEMENT
*
ALL INDIVIDUALS ENTERING THE FACILITY AND/OR PARTICIPATING IN SANCTIONED ACTIVITIES MUST COMPLY WITH THIS DECLARATION
The Ontario Cheerleading Federation and its registered and member clubs (collectively the “Organization”) require the disclosure of exposure or illness is in order to safeguard the health and safety of all participants and limit the further spread of COVID-19. This Declaration of Compliance will be kept safely, and personal information will not be disclosed unless as required by law or with your consent.
An individual (or the individual’s parent/guardian, if the individual is younger than 18 years old) who is unable to agree to the terms outlined in this document is not permitted to enter the Organization’s facilities or participate in the Organization’s activities, programs, or services.
I, the undersigned being the individual named above and the individual’s parent/guardian (if the individual is younger than 18 years old), hereby acknowledge and agree to the terms outlined in this document:
1) The coronavirus disease COVID-19 has been declared a worldwide pandemic by the World Health Organization and COVID-19 is extremely contagious. The Organization has put in place preventative measures to reduce the spread of COVID-19 and requires all individuals (or their parent/guardian, when applicable) to adhere to the compliance standards set out by the organization.
2) The individual has not been diagnosed with COVID-19. OR If the individual was diagnosed with COVID-19, the individual was cleared as noncontagious by provincial or local public health authorities.
3) If the individual is a front-line worker (such as hospital staff, long term care staff, or other individual who interacts with individuals who have confirmed or suspected cases of COVID-19) or travels outside of Canada, the individual has worn proper and approved Personal Protective Equipment at all times whenever they interacted with an individual who has a confirmed or suspected case of COVID-19 in the last 14 days.
4) If the individual is not a front-line worker, and to their best knowledge, they have not been exposed to a person with a confirmed or suspected case of COVID-19 in the last 14 days.
5) The individual is attending or participating voluntarily and understands the risks associated with COVID-19. The individual (or the individual’s parent/guardian, on behalf of the individual (when applicable), agrees to assume those risks, including but not limited to exposure and being infected.
6) The individual has not, nor has anyone in the individual’s household, experienced any signs or symptoms of COVID-19 in the last 14 days (including fever, new or worsening cough, fatigue, chills, and body aches, respiratory illness, difficulty breathing, nausea, vomiting or loss of taste or smell).
7) If the individual experiences, or if anyone in the individual’s household experiences, new or worsening symptoms of Covid-19 that are unrelated to a known or pre-existing condition after submitting this Declaration of Compliance, the individual will notify the Organization, and get tested as soon as possible. If a positive test is received, the individual will not attend any of the Organization’s facilities, activities, programs, or services until at least 14 days have passed since those symptoms were last experienced. If a negative test is received, the individual will provide a copy of this negative test to the organization if possible.
8) The individual is following recommended guidelines, including but not limited to, practicing physical distancing, trying to maintain separation of 2 meters from others, adhering to recognized hygiene best practices, and otherwise limiting exposure to COVID-19.
9) The individual will follow the safety, physical distancing, and hygiene protocols of the Organization.
10) This document will remain in effect until the Organization, per the direction of the municipal, provincial, and federal governments and provincial health officials, determines that the acknowledgments in this Declaration of Compliance are no longer required.
11) The Organization may remove the individual from the facility or from participation in the activities, programs, or services of the Organization at any time and for any reason if the Organization believes, in its sole discretion, that the individual is no longer in compliance with any of the standards described in this document.
I have read and understood the policy stated above
Signature
*
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Adult 18+ Waiver
1
Waiver
2
COVID-19 Agreement
What Program Will You Be Attending?
*
Classes
Birthday Party
Playtime at Pegasus
Day Camp
Open Gym
Other
Name Of Birthday Child
*
ADULT WAIVER ASSUMPTION OF RISK RELEASE AND WAIVER OF LIABILITY INDEMNITY AGREEMENT
*
IN CONSIDERATION
of allowing me to participate in the program, related events, and activities of Pegasus Cheer Athletics (herein after known as the “program”)
I WARRANT TO YOU THAT:
1. I understand that while participating in this program, I may be photographed and I agree to allow any and all video, photo, or film likeness to be used for any legitimate purpose by the program and its organizers, and
2. I am familiar with the risk of serious injury and death, which any participant in this program must assume, and
3. I believe that I am physically, emotionally, and mentally able to participate in this program, and that my equipment is mechanically fit for my use in this program, and
4. I understand that all applicable rules for participation must be followed and that at all times, the sole responsibility for personal safety remains with me, and
5. I will immediately remove myself from participation and notify the nearest official if, at any time, I sense or observe any unusual hazard or unsafe condition or if I feel that I have experienced any deterioration in my physical, emotional, or mental fitness for continued participation in the program.
6. If, during the course of my participation in this program:
I UNDERSTAND AND AGREE,
ON BEHALF OF MY MYSELF, MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES, AND NEXT OF KIN THAT MY PARTICIPATION IN THIS PROGRAM AND EXECUTION OF THIS DOCUMENT CONSITUTES:
1. an unqualified ASSUMPTION OF ALL RISKS associated with participation in this program by myself, even if arising from negligence or gross negligence, including any compounding or aggravation of injuries caused by negligent rescue operations or procedures of the program organizer and any persons associated therewith or participating therein, and
2. consent to the provision of medical treatment upon myself should such treatment be deemed advisable in the event of injury, accident, and/or illness. Medical treatment shall be considered to include, but not be limited to, standard first aid, the inclusion of emergency providers related to 911 procedures and services, and the permission to transfer me to a hospital should further emergency services be required and I am unable to give permission myself, and
3. a FULL AND FINAL RELEASE AND WAIVER OF LIABILITY of the program, its organizer(s), and all persons and organizations associated with it, including, without limiting the generality of the foregoing, its officers, directors, officials, agents, and/or employees, other participants, sponsors, advertisers, owners, and/or lessors of the premises used to conduct the program, sanctioning bodies, medical or rescue personnel (the RELEASEES), of and from with the respect to all injury, disability, death, or loss, or damage to person or property, whether arising from the negligence or negligent rescue of or by the foregoing or otherwise, and
4. and UNDERSTANDING NOT TO SUE the RELEASEES for any loss, injury, costs, or damages of any form or type, howsoever caused or arising, and whether directly or indirectly from the participation of myself in the program, and
5. an AGREEMENT TO INDEMNIFY and to SAVE and HOLD HARMLESS the RELEASEES and each of them from any litigation expense, legal fees, liability, damage, award, or cost of any form or type whatsoever that may incur due to any claim made against them or any one of them, whether the claim is based on the negligence or the gross negligence of the RELEASEES or otherwise.
I UNDERSTAND THAT THE RELEASEES ARE RELYING UPON MY WARRANTIES, ASSUMPTIONS, WAIVER, AND RELEASE UNDERTAKINGS AND AGREEMENTS WHEN ACCEPTING MY PARTICIPATION IN THIS PROGRAM.
I UNDERSTAND THAT BY SIGNING THIS DOCUMENT, I GIVE UP SUBSTANTIAL LEGAL RIGHTS I WOULD OTHERWISE HAVE.
I UNDERSTAND AND AGREE THAT THIS WAIVER AND RELEASE SHALL BE CONSTRUED BROADLY TO PROVIDE A RELEASE AND WAIVER TO THE MAXIMUM EXTENT PERMISSABLE UNDER APPLICABLE LAW.
I SIGN THIS DOCUMENT VOLUNTARILY AND WITHOUT INDUCEMENT.
Participant Name
*
First
Last
Email
*
Phone
*
Signature of Participant
*
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Emergency Contact
*
First
Last
Emergency Contact Phone
*
Witness Name
*
First
Last
Signature of Witness
*
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Today's Date
*
Month
Day
Year
COVID-19 POLICY AGREEMENT
*
ALL INDIVIDUALS ENTERING THE FACILITY AND/OR PARTICIPATING IN SANCTIONED ACTIVITIES MUST COMPLY WITH THIS DECLARATION
The Ontario Cheerleading Federation and its registered and member clubs (collectively the “Organization”) require the disclosure of exposure or illness is in order to safeguard the health and safety of all participants and limit the further spread of COVID-19. This Declaration of Compliance will be kept safely, and personal information will not be disclosed unless as required by law or with your consent.
An individual (or the individual’s parent/guardian, if the individual is younger than 18 years old) who is unable to agree to the terms outlined in this document is not permitted to enter the Organization’s facilities or participate in the Organization’s activities, programs, or services.
I, the undersigned being the individual named above and the individual’s parent/guardian (if the individual is younger than 18 years old), hereby acknowledge and agree to the terms outlined in this document:
1) The coronavirus disease COVID-19 has been declared a worldwide pandemic by the World Health Organization and COVID-19 is extremely contagious. The Organization has put in place preventative measures to reduce the spread of COVID-19 and requires all individuals (or their parent/guardian, when applicable) to adhere to the compliance standards set out by the organization.
2) The individual has not been diagnosed with COVID-19. OR If the individual was diagnosed with COVID-19, the individual was cleared as noncontagious by provincial or local public health authorities.
3) If the individual is a front-line worker (such as hospital staff, long term care staff, or other individual who interacts with individuals who have confirmed or suspected cases of COVID-19) or travels outside of Canada, the individual has worn proper and approved Personal Protective Equipment at all times whenever they interacted with an individual who has a confirmed or suspected case of COVID-19 in the last 14 days.
4) If the individual is not a front-line worker, and to their best knowledge, they have not been exposed to a person with a confirmed or suspected case of COVID-19 in the last 14 days.
5) The individual is attending or participating voluntarily and understands the risks associated with COVID-19. The individual (or the individual’s parent/guardian, on behalf of the individual (when applicable), agrees to assume those risks, including but not limited to exposure and being infected.
6) The individual has not, nor has anyone in the individual’s household, experienced any signs or symptoms of COVID-19 in the last 14 days (including fever, new or worsening cough, fatigue, chills, and body aches, respiratory illness, difficulty breathing, nausea, vomiting or loss of taste or smell).
7) If the individual experiences, or if anyone in the individual’s household experiences, new or worsening symptoms of Covid-19 that are unrelated to a known or pre-existing condition after submitting this Declaration of Compliance, the individual will notify the Organization, and get tested as soon as possible. If a positive test is received, the individual will not attend any of the Organization’s facilities, activities, programs, or services until at least 14 days have passed since those symptoms were last experienced. If a negative test is received, the individual will provide a copy of this negative test to the organization if possible.
8) The individual is following recommended guidelines, including but not limited to, practicing physical distancing, trying to maintain separation of 2 meters from others, adhering to recognized hygiene best practices, and otherwise limiting exposure to COVID-19.
9) The individual will follow the safety, physical distancing, and hygiene protocols of the Organization.
10) This document will remain in effect until the Organization, per the direction of the municipal, provincial, and federal governments and provincial health officials, determines that the acknowledgments in this Declaration of Compliance are no longer required.
11) The Organization may remove the individual from the facility or from participation in the activities, programs, or services of the Organization at any time and for any reason if the Organization believes, in its sole discretion, that the individual is no longer in compliance with any of the standards described in this document.
I have read and understood the policy stated above
Participant Name
*
First
Last
Signature
*
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Date
*
Month
Day
Year