Cheerleading Stunt Camp Medical Waiver

Participant Information

Participant Name Date of Birth Address Emergency Contact Name Emergency Contact Phone

Medical Information

Allergies Medical Conditions Medications Family Physician Physician Phone

Waiver and Release

I, the undersigned, understand that participation in the Cheerleading Stunt Camp involves physical activities that carry inherent risk of injury. I hereby authorize the organizers to act according to their best judgment in any emergency requiring medical attention. I release and hold harmless the camp, its coaches, staff, and affiliates from any and all liability arising out of participation.