Where

LA All Stars

2979 Old Tree Rd. Suite C
Lancaster, PA 17601

Event Address Map
Driving Directions

Contact

Jodi Bard
Lancaster Athletic Cheer
717-575-5745
lacheer@comcast.net

LA ALL STARS Clinic with Jack Kidney, Robby Carmichael and Kostovetskiy

* Required information

Personal Information

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  • Fee

    Type Fee
    $67.00

Medical Release

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  • My child wishes to participate in the cheerleading practices, instruction, and other activities (“the Activity”) as offered by Lancaster Athletic Cheer LLC. Because of the risks associated with cheerleading, I have read and agree to the following Release and Waiver Agreement:

  • Assumption of Risk. I understand that participating in the Activity entails risks of injury, including,without limitation, physical injury, disfigurement, paralysis, blood loss, muscle function or other injuries. I am aware of the risk of injury and am knowingly and voluntarily accepting the risk that such injury may occur as a result of participating in the Activity. 2. Warranty of Physical Fitness. I represent and warrant that I am physically fit and in a condition that will allow me to participate fully in the Activity. I am covered by medical insurance that covers me for injury that may occur while participating in the Activity. HHSC will not make any investigation into my physical fitness or ability to participate in the Activity, and is fully relying on my representations of my physical condition and insurance set forth herein. 3. Release/Waiver of Claims. On behalf of myself and my heirs representatives and/or assigns, I hereby fully and completely release Lancaster Athletic Cheer, their

  • members, directors, officers, and employees, and the landlord/owner of the facilities at which the Activity occurs, from any and all claims, actions, causes of action, suits, and/or damages (including without limitation, claims or loss caused by the negligent act or omission of Lancaster Athletic Cheer, LLC or the landlord/owner, any instructions offered/withheld or the condition of the premises or equipment) related to any Activity. If any portion of this Release and Waiver is held invalid for any reason, the remainder shall not be affected and shall continue in full legal force and effect. 4. Emergency Medical Treatment. I grant Lancaster Athletic Cheer, LLC permission to authorize emergency medical treatment as it deems appropriate and agree that such action shall be subject to the terms of this Agreement. I am solely responsible for all costs related to such medical treatment, medical transportation, and/or evacuation.

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$9,999.99

Payment

Payment Method

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