Philadelphia Thanksgiving Day Parade

PHILADELPHIA PARADE RELEASE/WAIVER FORM | NOVEMBER 22-25, 2016

SCHOOL NAME: _______________________________________

LIABILITY RELEASE.

For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I _________________________________, as parent or le-

gal guardian of ___________________________________________, a minor (hereinafter “Minor”, hereby grant the permission necessary to allow this minor to participate in the above

Event to be conducted by Varsity Spirit LLC (”Varsity Spirit”), d/b/a Universal Cheerleaders Association (”UCA”), d/b/a Universal Dance Association (”UDA”), d/b/a National Cheerleaders

Association (”NCA”), National Dance Alliance (”NDA”). I, in my own behalf and on behalf of the Minor, further agree to release and to hold harmless Varsity Spirit, Varsity Spirit’s Corporate

Sponsors (hereinafter “Sponsors”), the Hosting site, (hotel, parade organizations and other entity providing service whilst on this Event and on whose premises the Event will occur (hereinafter

the “Location”) the affiliates of Varsity Spirit and the Location, and the respective directors, officers, representatives, members, agents and employees of Varsity Spirit, Sponsors, the Location

and their respective affiliates (hereinafter collectively “Releases”) from any and all liability for negligence or any other claim judgement, loss, liability, cost and expenses (including, without

limitations, attorney’s fees and costs) arising out of or connected with the Event, including any claim arising out of or connected with any illness or injury (minimal, serious, catastrophic and/or

death) that the Minor may incur or sustain during the Event, all activities associated with the Event and while traveling to and from the site for the Event whether or not the Event actually occurs.

I further expressly agree to indemnify and hold harmless Releases and Releasees’ heirs, successors, assigns, executors and administrators against loss from any further claims, demands or

actions that may subsequently be brought by Minor or by any other persons on the account of damages of any character resulting to Minor in any way from the foregoing activities. I further

agree to reimburse and to make good to Releasees any loss, or costs Releasees may have to pay as a result of any such action, claim, or demand.

I, in my own behalf and on behalf of the Minor, hereby warrant that I have read this Liability Release in its entirety and fully understand its contents. I, in my own behalf and on behalf of the

Minor, am aware that this Liability Release releases Releasees from liability and contains an acknowledgement of my voluntary and knowing assumption of the risk of injury or illness. I, in my

own behalf and on behalf of the Minor, further acknowledge that nothing in this Liability Release constitutes a guarantee that the Event will occur. I, in my own behalf and on behalf of the

Minor, have signed this document voluntarily and of my own free will.

Signature of Parent of Legal Guardian

_________________________________________________________________________________ Date:____ /____ /_____

MEDICAL RELEASE.

I, in my own behalf and on behalf of the Minor, acknowledge and agree that such participation subjects Minor to possibility of physical illness or injury (minimal,

serious, catastrophic, and/or death) and that I, in my own behalf and on behalf of the Minor, acknowledge that the Minor is assuming the risk of such illness or injury by participating in the

Event. In the event of such illness or injury, I authorize Varsity Spirit to obtain necessary medical treatment of the Minor and herby, in my own behalf and on behalf of the Minor, release and

hold harmless Releasees in the exercises of this authority. I further acknowledge and understand that I will be responsible for any and all medical and related bills that may be incurred on

behalf of the Minor for any illness or injury that the Minor may sustain during the Event and while traveling to and from the site for the Event whether of nor the Event actually occurs.

APPEARANCE AGREEMENT.

I understand that Varsity Spirit, d/b/a Universal Cheerleaders Association (”UCA”), d/b/a Universal Dance Association (“UDA”), d/b/a National

Cheerleaders Association (”NCA”), and National Dance Alliance (”NDA”), from time to time produces promotional material relating to its programs. I understand that as a participant and/or

a spectator at the Event that Minor may be included in videotapes, photographs, DVD’s, Podcasts, and videocasts taken during the Event. Therefore, without reservation of limitations, I, in my

own behalf and on behalf of the Minor, hereby assign, transfer and grant to Varsity Spirit, d/b/a Universal Cheerleaders Association (”UCA”), d/b/a Universal Dance Association (“UDA”),

d/b/a National Cheerleaders Association (”NCA”), and d/b/a National Dance Alliance (”NDA”). Its successors, assignees, licensees, sponsors, and television networks, and all other

commercial exhibitors the exclusive right to photograph and/or videotape the Minor and to utilize such videotapes and photographs and Minor’s name, face likeness, voice and appearance

as a part of the Event, in advertising and promoting the Event or in advertising and promoting similar future events. I further understand that neither Varsity Spirit nor any third party is under any

obligation to exercise any of the foregoing rights, licenses and privileges.

EVENT RULES.

I further acknowledge and understand that Varsity Spirit has established rules and regulations pertaining to conduct behavior and activities of all Event participants, by

which Minor and I agree to abide during the Event (copy of which is signed and enclosed in this booklet), and that Minor and I will be responsible for his/her/my failure to abide by those

rules and regulations. Minor and I have received, read and understand the Event rules. Minor and I understand that violation of the rules can result in dismissal from Event with no refund.

INSURANCE

Insurance Company: ___________________________________________________________________________________________________________________

Insurance Company Address: ____________________________________________________________________________________________________________

Medical Insurance Policy Number: ________________________________________________________________________________________________________

I represent that any medication to which Minor is allergic or medications that Minor is currently taking are listed below. I agree that Minor shall bring medications which Minor is currently

taking with him/her to the Event and that he/she shall consume the prescribed dosage for such medications.

Medications (if any): __________________________________________________________________________________________________________________________

Allergic to (if any): ____________________________________________________________________________________________________________________________

I acknowledge that the Minor suffers from the following conditions: ____________________________________________________________________________________

____________________________________________________________________________________________________________________________________________

Family Doctor: ______________________________________________________ Phone Number: (_______)_________________________________________________

EMERGENCY INFORMATION

Name: ___________________________________________________________________________________

Address: __________________________________________________________________________________

City, State, Zip: ____________________________________________________________________________

Daytime phone: (____)____________ Evening phone: (____)____________ Cell phone: (____)____________

I, in my own behalf and on behalf of the Minor, herby warrant that I have read this PHILADELPHIA TOUR Participant Release

and Waiver Form in its entirety and fully understand its concerns. I, in my own behalf and on behalf of the Minor, am aware that

this Participant Release and Waiver Form releases Releasees from liability and contains an acknowledgement of my voluntary

and knowing assumption of the risk of injury or illness. I, in my own behalf and on behalf of the Minor, further acknowledge that

nothing in this Participant Release and Waiver Form constitutes a guarantee that the Event will occur. I, in my own behalf and on

behalf of the Minor, have signed this document voluntarily and of my own free will.

Signature of Parent of Legal Guardian

________________________________________________________

Relationship to Minor: _______________________________________________________________________

Minor SS# __________-__________-__________ Minor Birthdate: ____/____/____

I, identified above as Minor, acknowledge that I have read this PHILADELPHIA TOUR Release and Waiver Form.

Signature of Minor

___________________________________________________ Date:____/____/_____

Signature of Witness

__________________________________________________ Date:____/____/____

Witness Address: ___________________________________________________________________________

ONE TIME

OFFER!!

OPTIONAL TRAVEL INSURANCE & ASSISTANCE

We STRONGLY encourage trip cancellation insurance.

Log on to

www.insuremytrip.com

for purchasing proce-

dures. This information is provided to you as a courtesy

and protects the event participant and/or spectator if

you cancel the trip. It must be purchased within seven

(7) days of registration in order to qualify for pre-ex-

isting conditions. Note: your $200 deposit is NOT

refundable by Varsity Spirit LLC.