EMERGENCY MEDICAL RELEASE WAIVER AND RELEASE OF LIABILITY

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I hereby authorize Georgia Elite All Stars, its coaches, trainers, or any member of its staff, to obtain emergency medical treatment from any physician, hospital, or other qualified medical personnel, at our facility as needed in the event of an accident or injury. The undersigned is fully aware of and appreciates the risks, including the risk of possible serious injury, as well as other damages and losses associated with participation in tumbling activities, cheerleading, and training. The undersigned further agrees that Georgia Elite All Stars, its officers, employees, agents, directors, coaches, trainers, or any member of its staff, including without limitation non-paid parent volunteers, shall not be liable for any losses or damages occurring as a result of the participation in tumbling activities, cheerleading, and training, except for such loss or damage that is the result of intentional or reckless conduct of one of the organizations or individuals identified above.

The undersigned further states that the student is in good health and is not suffering from any medical or physical, impairments, except as noted below. The undersigned further certifies that said student is not allergic to any medication, drugs or food, except as noted below.