EMS Cheerleading Big Sis/Lil Sis Camp Registration form When: SEPTEMBER 7TH 11-3 PM Where: Elkhorn Middle

School Gym

REGISTRATION FORM, $30.00, AND WAIVER DUE AUGUST 28TH 6PM AT EMS
Name of participant: Payment method ($30.00): Cash/money order made out to EMS Cheerleading preferred Grade: Parent/Guardian: Emergency contact phone number: T-shirt size: Allergies (include all food allergies/if you are prescribed an inhaler you must bring it with you the day of camp!): Participant Reminders *Please be sure to pick up your camper at 3 PM on the day of camp! *Campers will cheer with the EMS Cheerleaders at the September 12th home football game! Your camper needs to meet at the County Football Field at 645 PM Sept. 12th. Feel free to bring family and friends! Go Elks!!

EMS Cheerleading Big Sis/Lil Sis Camp WAIVER/RELEASE FORM In consideration of ____________________________________________________, my minor child/ward, being allowed to (Name of Child) X participate in the EMS Cheer Camp and agrees to the following: I understand that participation in cheerleading involves certain inherent risks and that regardless of the precautions taken, some injuries may occur. I understand that the EMS Cheer program is not responsible in any way for any injury that is obtained at camp or during the game (Sept. 12th). Adhering to the following safety rules may lessen the likelihood of injuries: 1. Wear clothes that allow you to move freely (no jeans) 2. Wear tennis shoes (no sandals or flip flops) 3. Keep hair off shoulder (wear in pony tail, pigtails, etc) 4. Do not wear jewelry (earrings, rings, bracelets, necklaces, etc) 5. Properly warm up before practices or games 6. No stunting without a coach or adult spotters help 7. No "horseplay" during practices or games 8. Be aware of where you are at on the field and where the other players are 9. Stay in the designated cheerleading area

*We will provide a snack/drink at camp. However, please be sure to eat something before you attend camp and/or bring a small sack lunch. You may also bring a water to keep with you during the duration of camp.*
I agree to comply with the program's stated and customary terms and conditions for participation. In order to properly protect my own childs safety and that of fellow participants, I agree to follow these rules as well as any others that may be given by my childs coach, official, sponsor or any other agent of the EMS Cheerleading Program. I HAVE CAREFULLY READ THE FOREGOING DOCUMENT. I HAVE HAD THE OPPORTUNITY TO ASK QUESTIONS AND HAVE THEM ANSWERED. I AM CONFIDENT THAT I FULLY KNOW, UNDERSTAND, AND APPRECIATE THE RISKS INVOLVED IN ACTIVE PARTICIPATION IN CHEERLEADING. I am voluntarily requesting permission for my son/daughter to participate. X_______________________________________ ___________________________________ Signature of parent/guardian: Print name and Date