I, the undersigned parent or guardian, do hereby grant permission for my daughter/son, _____________________________________________, to participate in the activity of cheerleading tryouts at The University of Arizona. In order that my daughter/son may receive the necessary medical treatment in the event she/he 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 my daughter/son 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 daughter/son may sustain physical illness or injury (minimal, serious, or catastrophic), in connection with her or his participation. I further acknowledge and understand that my daughter/son is assuming the risk of such physical illness or injury by her/his 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 my daughter/son 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 my daughter/son must abide during participation in this activity, and that my daughter/son and I will be responsible for her/his failure to abide by those rules and regulations.

My daughter/son and I have read and understood the above Medical
Treatment Authorization and Liability Release.


Signature of Parent of Guardian if Participant is Under 18              Date



Participant's Signature                                                 Date