IOWA STATE UNIVERSITY OF SCIENCE AND TECHNOLOGY

ISU Athletics Department – Iowa State Cheerleading Clinics Participation Agreement,
Parental Permission Agreement, Assumption of Risk, Release of Liability and Emergency Medical Information

PLEASE READ THIS AGREEMENT CAREFULLY. This Agreement must be read and signed by each participant as well as the parent or guardian of each participant under 18 years of age. It is a legal contract and affects any rights you/your child may have if your child is injured or otherwise suffers damages while participating in the Iowa State Spirit Day Kids Clinic.

PROGRAM DESCRIPTION
The Iowa State University Athletics Department is hosting a Spirit Day Clinic at the Bergstrom Indoor Football Complex for participants ages 5-12. ISU cheer coaches and cheerleaders will present materials, demonstrate skills and teach participants skills that will help participants prepare for the halftime performance during the game. This clinic will focus on teaching gameday cheers, chants, and a dance.

BEHAVIOR EXPECTATIONS
It is important to follow the directions of the program leader(s) at all times. I understand that, as a participant, I have the responsibility to help make the activity a safe experience for everyone through my behavior and conduct. I also understand the danger of not following rules and directions and agree to follow them.

IMAGE/VOICE PERMISSION
Photographic images or video/audio recordings may be taken of you and/or your child during program activities. Unless you request otherwise, this Agreement will be considered permission for Iowa State University to photograph, film, audio/video tape, record and/or televise your image and/or voice or the image and/or voice of your child/children for use in any publications or promotional materials, in any medium now known or developed in the future without any restrictions. If you object to ISU using your image or voice or your child’s/children’s image or voice in this manner, please notify the program leader, in writing, upon submission of this Agreement.

MEDICAL EMERGENCY PARENTAL PERMISSION
I understand that my child must be healthy and reasonably fit in order to safely participate in this program’s activities. My child or I will inform the program leader(s) of any medication, ailment, condition, or injury that may affect his/her ability to participate safely. If an injury or other medical condition occurs during the program, we will take reasonable steps to notify the emergency contacts listed. I hereby give permission to the program representative to provide routine first aid and seek emergency treatment including X-rays or routine tests. I agree to the release of any record necessary for treatment, referral, billing or insurance purposes. I understand that I am financially responsible for payment to the attending physicians or health care unit. In the event of an emergency where the Emergency Contact listed above cannot be reached, I give permission to the physician/hospital selected to secure and administer treatment for my child, including hospitalization.

ASSUMPTION OF RISK AND RELEASE OF LIABILITY
I give permission for my child to participate in the Iowa State Spirit Day Clinic at Iowa State University. I understand that program activities may involve certain risks of physical activity and possible injury and that Iowa State University and ISU Athletics will provide each participant with reasonable care, but that ISU cannot guarantee that my child will remain free of injury. I nonetheless wish to have my child participate in the program activities and ASSUME the RISK of participating. I agree to RELEASE from LIABILITY, INDEMNIFY and HOLD HARMLESS Iowa State University; State of Iowa; Board of Regents - State of Iowa; and their officers, employees and agents (hereinafter the RELEASEES) from any and all claim and/or cause of action arising out of and related to any injury, loss, penalties, damage, settlement, costs or other expenses or liabilities that occur as a result of my child’s participation in this program. This Assumption of Risk, however, is not intended to release the above-mentioned RELEASEES from liability arising out of their negligence. I hereby further agree that this Release and Waiver of Liability shall be construed in accordance with the laws of the State of Iowa.