Monday, May 21, 2012

Print Off ~ Fill Out ~ Bring to Class

Fast 4Ward Information Form Fast 4Ward Waiver Form Fast 4Ward Internet Release Form

Fast 4Ward Information Form

Fast 4Ward Performance Team

Please fill out the following information and bring these forms to class with you within the first two weeks for becoming a member of the Fast 4Ward Performance Team. Please print clearly, and turn forms into Valerie.

Members Name:

Address:

Phone Numbers:

1) Member’s Cell Phone: Text Y N

2) Mom’s Cell Phone: Text Y N

3) Dad’s Cell Phone: Text Y N

4) Home Number:

Member’s E-mail:

Mom’s E-mail:

Dad’s Email:

Member’s Birth date Member or Parents on Facebook: Y N

Parent(s)Guardian(s) Name

Comments:

Parent Signature: Date:

Fast 4Ward Release Form (Mandatory for Participation)

Fast4Ward

Performance Team

LiabilityWaiver & Medical Release Form

Policies

I have read, and understood the Rhythm of myHeart, Fast 4Ward PerformanceTeam policies. I accept and agree to follow the policies. (Policies are located online at the Fast 4Ward Website)

Child’s Name/Signature:

Parents/Guardian Signature:

Date:

Liability Waiver

I release Owner/Director,Valerie Dawn Cooper, Rhythm of myHeart, Fast 4Ward PerformanceTeam, Garden Home Rec. Center and it’s staff, teachers, volunteers and management from any and all liabilities, claims and demands arising out of injuries incurred by my child while participating and/or performingin this activity, and performance team.

Child’s Name:

Parents/Guardian Signature:

Date:

Medical Release

I give my permission for Owner/Director, Valerie Cooper, Rhythm of my Heart, Fast 4Ward Performance Team to obtain any emergency medical treatment they deem necessary to my child’s well being. I give my permission for qualified, license, medical professionals to administer emergency medical treatment for any injury my child may incur. I understand owner/director Valerie Dawn Cooper, Rhythm of my Heart and the Fast 4Ward Performance Team does not assume responsibility for payment of a physician/hospital/transportation, in any situation.

Child’s Name:

Parents/Guardian Signature:

Date:

Emergency Phone Numbers:

Insurance Information:

Any medical problems/Allergies that I, or a medical professional would need to know about?

Fast 4Ward Internet Release Form (Optional Form)

Fast 4Ward Performance Team

Internet Release & Information

Fast 4Ward has a website & members only website and other internet advertising/marketing/sharing websites such as Myspace, Facebook, and Youtube. The websites contains general information about Fast 4Ward with fun pictures that has been created over the years with the purpose of advertising, marketing, and sharing. The members only site, contains more in depth information like calendars, more pictures, and also video’s of practices & performances. On the members only site, only members and their parents are allowed access onto the site by a password approval from the director Valerie Dawn Cooper.

Parents please advise your child if you do not sign this waiver in honor of your privacy. I need members to understand if I ask them to step out of a video & or picture that I am intending on posting on the website/internet for advertising or sharing purposes. I do not wish to isolate anyone, and I also would like to respect your wishes. Every picture/video will be taken tastefully and with tact in mind. If there is a picture/video of your child that wish removed, please just email the info, I will be happy to remove it. Thankyou.

I give my permission for to be apart of the Rhythm of my Heart, Fast 4Ward Performance Team Internet site. I agree that my child’s picture and first name only can be used. I release director, Valerie Dawn Cooper, Rhythm of my Heart, Fast 4Ward PerformanceTeam, Garden Home Rec Center, and its staff, teachers, volunteers, and management from any and all liabilities, claims, and demands incurred by my child while participating and/or performing in this exposure.

Parent/Guardian Signature:

Date:

Comments:

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