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Five Star Athletics
  • MENU
    • Programs
      • Cheerleading
      • Tumbling
      • Ages 3-5
      • Boys Programs
      • School Team Tumbling
    • Carson City
      • Fundamentals
      • Tumbling
      • New Members
    • Resources
      • Book A Private
      • 2023 Banquet
      • Cancellation
      • Job Postings
  • Birthday Parties
  • Waiver
  • Summer Camps
  • Sponsors
NEW MEMBER SPECIAL
Menu

Waiver

  • Waiver

Waiver

ASSUMPTION OF RISK RELEASE, MEDIA RELEASE AND WAIVER OF LIABILITY INDEMNITY AGREEMENT

Parent/Guardian

All Forms must be completed for your athlete to participate
Parents / Guardian Name(Required)
Address(Required)

Participant Info

Participant(s) Address

Participant #1

Participant #1 Name(Required)
MM slash DD slash YYYY
Does Your Child Regularly Take Medication?(Required)

Participant #2

Participant #2 Name(Required)
Use this section for your second child who you are signing a waiver for. Must be from the same household.
Use this section for your second child who you are signing a waiver for. Must be from the same household.
MM slash DD slash YYYY
Does Participant #2 Regularly Take Medication?(Required)

Participant #3

Participant #3 Name(Required)
Use this section for your third child who you are signing a waiver for. Must be from the same household.
Use this section for your third child who you are signing a waiver for. Must be from the same household.
MM slash DD slash YYYY
Does Participant #3 Regularly Take Medication?(Required)

Emergency Contact Information

Emergency Contact (other than parent signing)(Required)

Medical Authorization and Liability Release

Medical Authorization and Liability Release: I authorize Five Star Athletics and its representatives to consent to medical treatment for my child when I cannot be reached to so consent. I am fully aware that any activity involving motion, height or athletic activities create the possibility of serious injury, paralysis or even death. I further agree to hold Five Star Athletics and its staff or volunteers harmless for any injury or resulting expense(s). I release and discharge all rights and claims against Five Star Athletics, and its parties. Five Star Athletics strives to provide the maximum in safety procedures and guidelines, and cannot assume responsibility for any accidents, injuries or illness that may occur.
Consent(Required)

Parental Consent

Parental Consent: The athlete(s) listed above has my permission to participate in the Five Star Athletics program. In consideration for the training and coaching provided by Five Star Athletics and its staff, and or volunteers. I understand that my son/daughter must abide by the rules and regulations set forth by the coaches and staff. I understand that violations of any of these rules may results in removal from the classes and or events. We acknowledge and recognize that hazards are present in any athletic event and that injury may result. Five Star Athletics coaches, staff and volunteers will not be liable for injury that occurs during cheerleading practice, contests, or travel to and from cheerleading activities.

Photo Release

Photo Release: I herby grant consent to Five Star Athletics to reproduce or any photo images taken of myself or my child for advertising or promotional purposes.
Consent(Required)

Signature

This field is for validation purposes and should be left unchanged.

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    Contact Us

    Five Star Athletics Reno
    2730 E 4th St Reno, NV 89512
    775-376-0545
    information@fivestarathletics.net

    Five Star Athletics Carson
    5660 Morgan Mill Rd.
    Carson City, NV
    775-399-8497
    Carson@fivestarathletics.net

     

    Business Hours

    Reno
    Mon – Thu 4:00 pm – 9:00 pm
    Friday 4:00 pm – 7:00 pm
    Saturday 10:00 am – 1:00 pm
    Sunday 12:00 pm – 8:00 pm

    Carson
    Tuesday-Thursday 4-8pm
    Saturdays 8am- Noon

    Quick Links

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