LDE Season Tryouts Registration Logo
  • 2021-2022 Season Tryouts Registration

    Please make sure to fill out the registration form below completely and submit it when done.
  •  -
  • All-Star Athlete Information


  • Medical Information

  •  -
  •  -
  • Consent Waiver

  • I, parent or guardian consent for my athlete(s) to tryout to be placed on a Liberty Diamonds Elite team and certify that in the event of an emergency, Liberty Diamonds Elite and its staff may contact the emergency contacts listed in this form in the case that I am not available after being contacted. If emergency contacts fail to respond immediately, Liberty Diamonds Elite may take further action to care for the athlete until I or an emergency contact is present.

    I fully understand that Liberty Diamonds Elite staff members are not physicians or medical practitioners of any kind. With the above in mind, I hereby release the staff to render temporary first aid to my child in the event of an injury or illness, and, if deemed necessary by the staff to call a doctor and to seek medical help, including transportation by a staff member and/or its representatives, whether paid or volunteer, to any healthcare facility or hospital or the calling for an ambulance for said child should the staff deem this to be necessary.

    My athlete and I are aware of the possibility of injury and encourage my athlete to follow all the safety rules and coaches’ instructions. Liberty Diamonds Elite, its coaches, and other staff members, will not accept responsibility for injuries sustained by any athlete during the course of cheer or tumbling instruction, open workouts, or in the course of any exhibition, competition, or clinic in which he or she may participate or while traveling to and from the event. With the above in mind, and being fully aware of the risks and possibilities of injuries, I consent to have my child participate in the programs offered by Liberty Diamonds Elite. I, my executors or other representatives, waive and release all rights and claims for damages that I or my child may have against Liberty Diamonds Elite and-or its representatives, whether paid or volunteer. I now also affirm that I now have and will continue to provide proper hospitalization, health and accident insurance coverage which I consider adequate for both my child’s protection and my own protection. I also understand that Liberty Diamonds Elite is in no way responsible for any child(s) injuries that are sustained in or around the vicinity of the Liberty Diamonds Elite establishment (i.e. siblings, cousins, friends etc.). I also understand that the tryout fee is non-refundable and will not be returned to me in the event that tryouts are canceled, postponed, or my athlete(s) does not attend. 

     

     

  • My athlete and I understand that COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Liberty Diamonds Elite has put in place preventative measures to reduce the spread of COVID-19; however, cannot guarantee that my athlete or I will not become infected with COVID-19. Further, attending any program or activity at Liberty Diamonds Elite could increase our risk of contracting COVID-19. My athlete or I have not had any symptoms of or contracted COVID-19, nor have we been in contact with anyone who has. 

    By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my athlete and/or I may be exposed to or infected by COVID-19 while attending scheduled Liberty Diamonds Elite practices/events and that such exposure or infection may result in personal injury, illness, permanent disability, and/or death. I understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Liberty Diamonds Elite employees, volunteers, and program participants and their families and may also result in the transmission of the infection to household members and others.

    I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any infection/injury to my athlete or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my athlete may experience or incur in connection with my attendance at Liberty Diamonds Elite. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Liberty Diamonds Elite, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Liberty Diamonds Elite, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after attending any Liberty Diamonds Elite program or activity.

     

     

  • COVID-19 Consent Waiver

  • Clear
  •  / /
  • prevnext( X )
    USD

    Card Information


  • Should be Empty: