XTREME ATHLETICS CLUB INC. 

Xtreme Cheer

Registration Form 2012

Recreational Team/Non Competitive Teams

Melodie Oselies

(780) 962-0001

coachmel@shaw.ca

Last Name:                                         

Child Name:                                                              

D.O.B                         /           /                      

Medical Conditions:                                                  

Alberta Health Care #                                                            

Phone:                                     Cell:                                        Email:                                    

Parent and/or                                                  

Guardian #1:                                                 

Guardian #2:                                                  

Emergency Contact:                                                   Phone:                                                

Please read and initial: I permit Spirit Cheer to photograph and/or videotape my child and to use the photos/videos for advertising.            YES                NO                 

Please read and initial:

We are the official Cheer Team for Spruce Grove Minor Football, home of the Cougars!

Xtreme-Cheer Waiver

This document is a waiver of liability. By signing it, you waive legal rights, including the right to sue should there be an injury.

I understand that this is a waiver, I will be forever prevented from suing or otherwise claiming against Xtreme-Spirit Cheer or the Coach/s of Xtreme Cheer, for any loss or damage connected with any property loss or personal injury that a child or children may sustain while participating in the Cheer Program. I acknowledge that there is an element of risk and agree to permit my child to participate.

Childs Name                                                                                   Parent/Guardian

Name                                                                                                                                                 

Childs Signature                                                                             Parent/Guardian

Signature                                                                                                                                                         

Please click on Recreational Form

Xtreme Cheer

Registration Form 2012/13

CompetitiveTeam

Melodie Oselies

(780) 962-0001

coachmel@shaw.ca

Last Name:                                         

Child Name:                                                              

D.O.B                         /           /                      

Medical Conditions:                                                  

Alberta Health Care #                                                            

Phone:                                     Cell:                                        Email:                                    

Parent and/or                                               

Guardian #1:                                                 

Guardian #2:                                                  

Emergency Contact:                                                   Phone:                                                

Please read and initial: I permit Spirit Cheer to photograph and/or videotape my child and to use the photos/videos for advertising.            YES                NO                 

Please read and initial:

Xtreme-Spirit Cheer Waiver

This document is a waiver of liability. By signing it, you waive legal rights, including the right to sue should there be an injury.

I understand that this is a waiver, I will be forever prevented from suing or otherwise claiming against Xtreme-Spirit Cheer or the Coach/s of Extreme-Spirit Cheer, for any loss or damage connected with any property loss or personal injury that a child or children may sustain while participating in the Cheer Program. I acknowledge that there is an element of risk and agree to permit my child to participate.

Childs Name                                                                                   Parent/Guardian

Name                                                                                                                                                 

Childs Signature                                                                             Parent/Guardian

Signature                                                                                                                       

Please Click on Competitive Form

Competitive Registration Form