2015 baltimore ravens cheerleader prep clinic registration form prep

Transcription

2015 baltimore ravens cheerleader prep clinic registration form prep
PREP CLINICS
Cost per clinic:
$55 pre-registration
$65 walk-ins (cash only)
Pre-register for both clinics
for only $100
2015 BALTIMORE RAVENS CHEERLEADER
PREP CLINIC REGISTRATION FORM
This $10 discount is only valid
for preregistration.
Prep Clinics are provided by the Baltimore Ravens Cheerleading Coaching Staff and former Baltimore Ravens Cheerleaders. Clinics will take
place at the Ravens’ Under Armour Performance Center in Owings Mills. The purpose of the clinic is to provide prospective cheerleaders with
the best preparation for try-outs.
GENERAL INFO
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REGISTRATION PROCEDURE
1st Clinic: Saturday, Feb. 14, 2015 Time 10:30 am-1:00 pm
Registration Deadline: Feb. 9, 2015*
2nd Clinic: Tuesday, Feb. 17, 2015 Time 6:00-8:30 pm
Registration Deadline: Feb. 12, 2015*
Participant must be 16 years of age by Feb. 1, 2015
Attire: Athletic apparel and tennis, cheer or dance shoes
(remember it is very cold in the field house)
Spectators are not permitted to attend the clinics unless it is a
parent/driver that is providing transportation. That parent/driver
may not enter the training facility.
Try-out apparel, photography and nutrition information will be
available at both prep classes.
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Emailed Registrations: scanned copy of form must be sent as
an attachment and accompanied with credit card payment
information in order to reserve your space.
Email: rob.tune@ravens.nfl.net
Mailed Registrations: must be accompanied by check or credit
card information to reserve your space. Checks are made payable
to the Baltimore Ravens and all checks with insufficient funds will
be subject to an additional $15 fee.
Send to: Cheerleader Prep Clinics, Baltimore Ravens, 1 Winning
Drive, Owings Mills, MD 21117.
An email confirmation will be sent with driving directions, prep
class information and a liabilitty/publicity release form.
Participation will not be permitted without the release forms,
no exceptions.
REGISTRATION INFORMATION (print with pen clearly)
NAME
E-MAIL (REQUIRED) CONFIRMATIONS BY EMAIL ONLY
MAILING ADDRESS
CITYSTATEZIP
DAY PHONEEVENING PHONE
Please check which Prep Class date you plan to attend (you are welcome to attend both clinics)
Saturday, February 14, 2015
(10:30 am-1:00 pm)
Tuesday, February 17, 2015 (6:00-8:30 pm)
How did you hear about the clinics? PAYMENT INFORMATION (print with pen clearly)
Payment Type: Please check and fill in all information
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Check (#
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Money order # ()
Credit Card
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Visa Master Card
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American Express
Credit Card #Exp. Date
Name of card holder Signature of card holder
*No refunds after deadline dates listed above.
PLEASE READ, SIGN AND RETURN WITH COMPLETED APPLICATION
BALTIMORE RAVENS
CHEERLEADER RELEASE, WAIVER OF LIABILITY
AND HOLD HARMLESS AGREEMENT (THE “RELEASE”)
1.
I, THE UNDERSIGNED, VOLUNTARILY ELECT TO PARTICIPATE IN THE BALTIMORE RAVENS
CHEERLEADER TRYOUTS AND/OR SEMINAR/DANCE CLINIC (THE “ACTIVITIES”) IN FULL
RECOGNITION AND APPRECIATION OF THE DANGERS, RISKS AND HAZARDS INVOLVED IN
THE ACTIVITIES. I HAVE FULL KNOWLEDGE OF THE RISKS INVOLVED IN THE ACTIVITIES,
WHICH INCLUDE, BUT ARE NOT LIMITED, TO RUNNING, JUMPING, TWISTING, TUMBLING,
FLIPPING, LIFTING AND BEING LIFTED BY OTHER PARTICIPANTS, THROWING AND BEING
THROWN BY OTHER PARTICIPANTS, CATCHING AND BEING CAUGHT BY OTHER
PARTICIPANTS DANCING, AND EXPOSURE TO EXTREME AND UNPREDICTABLE WEATHER
CONDITIONS. I FURTHER UNDERSTAND THAT SERIOUS ACCIDENTS OCCASIONALLY OCCUR
DURING SAID ACTIVITIES AND THAT PARTICIPANTS IN SAID ACTIVITIES OCCASIONALLY
SUSTAIN MORTAL, PERMANENT, OR SERIOUS PERSONAL INJURIES, AND/OR PROPERTY
DAMAGE, AS A CONSEQUENCE THEREOF.
2.
KNOWING THE RISKS OF SUCH ACTIVITIES, AND IN CONSIDERATION OF BEING PERMITTED
TO PARTICIPATE, I, THE UNDERSIGNED, HEREBY IN ADVANCE RELEASE, WAIVE, FOREVER
DISCHARGE, AND COVENANT NOT TO SUE THE BALTIMORE RAVENS, ITS SHAREHOLDERS,
DIRECTORS, OFFICERS, EMPLOYEES, AGENTS, SUCCESSORS, AFFILIATES, AND ASSIGNS (THE
“RELEASEES”), FROM AND AGAINST ANY AND ALL LIABILITY FOR ANY HARM, INJURY,
DAMAGE, CLAIMS, ACTIONS, CAUSES OF ACTIONS, COSTS, DEMANDS AND EXPENSES OF
ANY NATURE WHATSOEVER WHICH I MAY HAVE OR WHICH MAY HEREAFTER ACCRUE TO
ME, ARISING OUT OF OR RELATED, DIRECTLY OR INDIRECTLY, TO ANY LOSS, DAMAGE, OR
INJURY, INCLUDING BUT NOT LIMITED TO SUFFERING AND DEATH, THAT MAY BE
SUSTAINED BY ME, OR TO ANY PROPERTY BELONGING TO ME, WHETHER CAUSED BY THE
NEGLIGENCE OR CARELESSNESS OF THE RELEASEES, OR OTHERWISE, WHILE
PARTICIPATING IN THE ACTIVITIES, OR WHILE IN TRANSIT TO OR FROM THE PREMISES
WHERE THE ACTIVITIES ARE BEING CONDUCTED. I FURTHER AGREE AND ACKNOWLEDGE
THAT MY PARTICIPATION IN THE ACTIVITIES IS PURELY VOLUNTARY.
3.
I UNDERSTAND AND AGREE THAT RELEASEES MAY NOT HAVE MEDICAL PERSONNEL
AVAILABLE AT THE LOCATION OF THE ACTIVITIES. I UNDERSTAND AND AGREE THAT
RELEASEES ARE GRANTED PERMISSION TO AUTHORIZE EMERGENCY MEDICAL
TREATMENT TO ME, AND THAT SUCH ACTION BY RELEASEES SHALL BE SUBJECT TO THE
TERMS OF THIS AGREEMENT. I UNDERSTAND AND AGREE THAT RELEASEES ASSUME NO
RESPONSIBILITY FOR ANY INJURY OR DAMAGE WHICH MIGHT ARISE OUT OF OR IN
CONNECTION WITH SUCH AUTHORIZED EMERGENCY MEDICAL TREATMENT.
4.
IT IS MY EXPRESS INTENT THAT THIS RELEASE AND HOLD HARMLESS AGREEMENT SHALL
BIND THE MEMBERS OF MY FAMILY AND SPOUSE, IF I AM ALIVE, AND MY ESTATE, HEIRS,
ADMINISTRATORS, PERSONAL REPRESENTATIVES, OR ASSIGNS, IF I AM DECEASED, AND
SHALL BE DEEMED AS A RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE THE
ABOVE-NAMED RELEASEES. I FURTHER AGREE TO SAVE AND HOLD HARMLESS,
INDEMNIFY AND DEFEND RELEASEES FROM ANY CLAIM BY ME, OR MY FAMILY, ARISING
OUT OF MY PARTICIPATION IN THE ACTIVITIES.
5.
IN SIGNING THIS RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I HAVE FULLY
INFORMED MYSELF OF THE CONTENTS OF THE FOREGOING WAIVER OF LIABILITY AND
HOLD HARMLESS AGREEMENT BY READING IT BEFORE I SIGN IT, AND I UNDERSTAND THAT
I SIGN THIS DOCUMENT AS MY OWN FREE WILL, AND THAT NO ORAL REPRESENTATIONS,
STATEMENTS OR INDUCEMENTS, APART FROM THE FOREGOING WRITTEN STATEMENT,
HAVE BEEN MADE. I EXECUTE THIS RELEASE FOR FULL, ADEQUATE AND COMPLETE
CONSIDERATION FULLY INTENDING TO BE BOUND BY SAME.
6.
I FURTHER AGREE THAT THIS RELEASE SHALL BE CONSTRUED IN ACCORDANCE WITH THE
LAWS OF THE STATE OF MARYLAND. IF ANY TERM OR PROVISION OF THIS RELEASE SHALL
BE HELD ILLEGAL, UNENFORCEABLE OR IN CONFLICT WITH ANY LAW GOVERNING THIS
RELEASE, THE VALIDITY OF THE REMAINING PORTIONS SHALL NOT BE AFFECTED
THEREBY.
7.
WHILE PARTICIPATING IN THE ACTIVITIES, I EXPRESSLY REPRESENT THAT I HAVE
ADEQUATE MEDICAL AND LIABILITY INSURANCE AND AGREE THAT THE RELEASEES MAY
RELY ON SUCH REPRESENTATION.
8.
I FURTHER AGREE, SHOULD I BE SELECTED AS A BALTIMORE RAVENS CHEERLEADER, THIS
RELEASE SHALL REMAIN IN FULL FORCE AND EFFECT, AND SHALL APPLY TO ALL
ACTIVITIES (INCLUDING TRAVEL) IN WHICH I PARTICIPATE IN SUCH CAPACITY.
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I FURTHER STATE THAT (CHECK ONE):
□ I AM AT LEAST EIGHTEEN (18) YEARS OF AGE AND FULLY COMPETENT TO SIGN
THIS RELEASE.
□ I AM UNDER EIGHTEEN (18) YEARS OF AGE.
THIS IS A RELEASE AND WAIVER OF LIABILITY
READ IT FULLY BEFORE SIGNING
SIGNATURE:____________________________
NAME PRINTED:_________________________
DATE:__________________________________
IF THE PARTICIPANT IS UNDER THE AGE OF 18 YEARS AS OF APRIL 1, 2015, SIGNATURE OF A
PARENT OR LEGAL GUARDIAN IS REQUIRED. AS PARENT/LEGAL GUARDIAN OF THE ABOVE
STATED PARTICIPANT, I HEREBY AGREE AND ACCEPT ALL OF THE ABOVE STATED
TERMS ON BEHALF OF MY DEPENDENT.
SIGNATURE:____________________________
NAME PRINTED:_________________________
DATE:___________________________________
EMERGENCY CONTACT INFORMATION*:
Name: _________________________________
Phone #: _____________________________
Relationship: ___________________________
*Must be completed by all applicants
PLEASE READ, SIGN AND RETURN WITH COMPLETED APPLICATION
PUBLICITY CONSENT AND RELEASE
BALTIMORE RAVENS
CHEERLEADER PUBLICITY CONSENT AND RELEASE
I, THE UNDERSIGNED, DO HEREBY GRANT THE BALTIMORE RAVENS PARTNERSHIP, DOING BUSINESS IN THE
STATE OF MARYLAND AS THE BALTIMORE RAVENS, AND ITS SUCCESSORS, AFFILIATES, AND ASSIGNS (THE
“RAVENS”), THE UNRESTRICTED RIGHT TO USE MY NAME, LIKENESS, IMAGE, VOICE AND/OR APPEARANCE
(COLLECTIVELY “IMAGES”) IN ORDER TO PROMOTE OR MARKET THE RAVENS OR FOR ANY BUSINESS RELATED
PURPOSE. THE USE OF MY IMAGES BY THE RAVENS INCLUDES, BUT IS NOT LIMITED TO, ON ANY FOOTBALL OR
SIMILAR CARDS, POSTERS, CALENDARS, PHOTOGRAPHS, VIDEO RECORDINGS, FILM RECORDINGS, AUDIO
RECORDINGS, DIGITAL IMAGES, ILLUSTRATIONS, REPRODUCTIONS, NEWSLETTERS, PUBLICATIONS,
ELECTRONIC ON -LINE SERVICES, ADVERTISEMENTS, OR OTHER PROMOTIONAL MATERIAL IN ANY FORM,
CONTENT OR MEDIUM, INCLUDING THE INTERNET. I AGREE THAT THE RAVENS HAVE COMPLETE OWNERSHIP
OF SUCH IMAGES, INCLUDING THE ENTIRE COPYRIGHT, AND THAT THIS CONSENT AND RELEASE IS
IRREVOCABLE. I FURTHER WAIVE ANY RIGHT TO INSPECT, MODIFY, OR APPROVE ANY INTERMEDIARY
VERSIONS(S) OR FINISHED VERSIONS(S) OF THE USE OF MY IMAGES.
I ACKNOWLEDGE AND AGREE THAT I WILL NOT RECEIVE ANY PAYMENT, COMPENSATION, OR REMUNERATION
FOR THE USE OF SUCH IMAGES BY THE RAVENS. I ALSO EXPRESSLY RELEASE, WAIVE, AND HOLD HARMLESS
THE RAVENS FROM ANY AND ALL DEMANDS, ACTIONS, CLAIMS, CAUSES OF ACTION, LICENSEES, ROYALTIES,
OR ANY FORM OF PAYMENT I OR MY AGENTS, REPRESENTATIVES, HEIRS, OR ASSIGNS MAY HAVE ARISING OUT
OF OR RELATING TO ANY USE BY THE RAVENS OF MY IMAGES, INCLUDING, BUT NOT LIMITED TO, CLAIMS
RELATING TO PRIVACY, PUBLICITY, NOTORIETY OR ANY OTHER RIGHTS.
I FURTHER STATE THAT (CHECK BOX):
□ I AM AT LEAST EIGHTEEN (18) YEARS OF AGE AND FULLY COMPETENT TO SIGN THIS RELEASE.
□ I AM UNDER EIGHTEEN (18) YEARS OF AGE.
SIGNATURE:____________________________
NAME PRINTED:__________________________
DATE:____________________________________
IF THE PARTICIPANT IS UNDER THE AGE OF 18 YEARS AS OF APRIL 1, 2015, SIGNATURE OF A PARENT OR LEGAL
GUARDIAN IS REQUIRED. AS PARENT/LEGAL GUARDIAN OF THE ABOVE STATED PARTICIPANT, I HEREBY AGREE
AND ACCEPT ALL OF THE ABOVE STATED TERMS ON BEHALF OF MY DEPENDENT.
SIGNATURE:_______________________________
NAME PRINTED:_____________________________
DATE:______________________________________