Minor’s Name ____________________________________________ Name of Parent or Legal Guardian ________________________________

Address _________________________________________________ School Name _________________________________________________

City, State, Zip ___________________________________________ Event Location _______________________________________________

Daytime Phone Number (________)___________________________ Event Date ____________________________ Cheer [ ] Dance [ ]

Evening Phone Number (________) ___________________________

as parent or legal guardian of _______________________________________, a minor (hereinafter "Minor"), hereby grant the permission necessary to allow

Minor to participate in the above Event to be conducted by Varsity Spirit Corporation ("Varsity Spirit") d / b / a Universal Cheerleaders Association ("UCA") d

/ b / a Universal Dance Association ("UDA") and / or American Association of Cheerleading Coaches and Advisors, Inc. ("AACCA"). I, in my own behalf and

on behalf of Minor, further agree to release and to hold harmless Varsity Spirit, the Hosting site, (university, hotel, convention center, high school) on whose

premises the Event will occur (hereinafter the "Location") the affiliates of Varsity Spirit, the Location and the National High School Cheerleading

Championship, a not for profit corporation, and the respective directors, officers, representatives, members, agents and employees of Varsity Spirit, the

Location, the National High School Cheerleading Championship, and their respective affiliates (hereinafter collectively "Releasees") from any any all liability

for negligence or any other claim judgment, loss, liability, cost and expenses (including, without limitations, attorney's fees and costs) arising out of or

connected with the Event, including any claim arising out of or connected with any illness or injury (minimal, serious, catastrophic and / or death) that Minor

may incur or sustain during the Event, all activities associated with the Event and while traveling to and from the site for the Event whether or not the Event

actually occurs. I further expressly agree to indemnify and hold harmless Releasees and Releasees' heirs, successors, assigns, executors and administrators against

loss from any further claims, demands or actions that may subsequently be brought by Minor or by any other persons on the account of damages of any

character resulting to Minor in any way from the foregoing activities. I further agree to reimburse and to make good to Releasees any loss, or costs Releasees

may have to pay as a result of any such action, claim, or demand.

I, in my own behalf and on behalf of Minor, hereby warrant that I have read this Liability Release in its entirety and fully understand its contents. I, in my own

behalf and on behalf of Minor, am aware that this Liability Release releases Releasees from liability and contains an acknowledgement of my voluntary and

knowing assumption of the risk of injury or illness. I, in my own behalf and on behalf of Minor, further acknowledge that nothing in this Liability Release

constitutes a guarantee that the Event will occur. I, in my own behalf and on behalf of Minor, have signed this document voluntarily and of my own free will.

Varsity Spirit Corporation d/b/a/ UCA, UDA or AACCA or NHSCC is not responsible for participants’ supervision..

programs. I understand that as participant and/ or a spectator at the Event that Minor may be included in videotapes or photographs taken during the Event.

Therefore, without reservation or limitations, I, in my own behalf and on behalf of Minor, hereby assign, transfer and grant to Varsity Spirit d/ b/ a UCA and /

or UDA, its successors, assignees, licensees, sponsors, any television networks, and all other commercial exhibitors the exclusive right to photograph and / or

videotape Minor and to utilize such videotapes and photographs and Minor's name, face likeness, voice and appearance as a part of the Event, in advertising

and promoting the Event or in advertising and promoting similar future events. I further understand that neither Varsity Spirit nor any third party is under any

obligation to exercise any of the foregoing rights, licenses and privileges.

or injury (minimal, serious, catastrophic and/ or death) and that I, in my own behalf and on behalf of Minor, acknowledge that Minor is assuming the risk of

such illness or injury by participating in the event. In the event of such illness or injury, I authorize Varsity Spirit to obtain necessary medical treatment for

Minor and hereby, in my own behalf and on behalf of Minor, release and hold harmless Releasees in the exercises of this authority. I further acknowledge and

understand that I will be responsible for any and all medical and related bills that may be incurred on behalf of Minor for any illness or injury that Minor may

sustain during the Event and while traveling to and from the site for the Event whether or not the Event actually occurs.

I represent that any medication to which Minor is allergic or medications that Minor is currently taking are listed below. I agree that Minor shall bring

medications which Minor is currently taking with him / her to the Event and that he / she shall consume the prescribed dosage for such medications.

Medications (if any): _______________________________________________________________________________________________________

Allergic to (if any): ________________________________________________________________________________________________________

I acknowledge that the Minor suffers from the following conditions: __________________________________________________________________

I, in my own behalf and on behalf of Minor, hereby warrant that I have read this Participant Release and Waiver Form in its entirety and fully understand its

contents. I, in my own behalf and on behalf of Minor, am aware that this Participant Release and Waiver Form releases Releasees from liability and contains an

acknowledgement of my voluntary and knowing assumption of the risk of injury or illness. I, in my own behalf and on behalf of Minor, further acknowledge

that nothing in this Participant Release and Waiver Form constitutes a guarantee that the Event will occur. I, in my own behalf and on behalf of Minor, have

signed this document voluntarily and of my own free will.

Relationship to Minor:__________________________________________________________ Minor

SS#_____________________________________

Minor Birthdate:________________________________

I, identified above as Minor, acknowledge that I have read this Release and Waiver form.