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4.10.2000


The University of Arizona Cheerleading and Mascot
MEDICAL TREATMENT AUTHORIZATION AND LIABILITY RELEASE (over 18 years of age)

I, _____________________________________________, am participating in the activity of cheerleading tryouts at The University of Arizona. In order that I may receive the necessary medical treatment in the event that I may sustain injury or illness during participation in this activity, I hereby authorize the cheerleading coach or other supervising adult to obtain medical treatment for such an injury or illness during the activity, and I hereby hold The University of Arizona and its representatives harmless in the exercise of authority.

I understand that this activity involves risk to the participant. I further acknowledge and understand that due to the nature of this activity, which involves inversion and rotation of the body, there is a possibility that my I may sustain physical illness or injury (minimal, serious, or catastrophic), in connection with my participation. I further acknowledge and understand that I am assuming the risk or such physical illness of injury by participation, and I further release the State of Arizona, The University of Arizona and its representatives from any claims for personal illness or injury that I may sustain during participation in this activity.

I further understand that The University of Arizona has established rules and regulations pertaining to conduct, behavior, and activities of all students and cheerleading participants, by which I must abide during participation in this activity, and that I will be responsible for failure to abide by those rules and regulations.


I have read and understood the above Medical Treatment
Authorization and Liability Release.



Participant's Signature                 Date




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