JOIN THE STUDIO

Registration

Complete the form online, then share or download your completed PDF and email it to vikingtiptoe@gmail.com. The PDF includes your answers and waiver text. Your registration is not submitted until you send the email. Information entered here is not saved on the website.

Download the printable registration and waiver PDF

Fields marked * are required.

Student information

Child’s full name *Birthday *AgeGradeSchool

Parent / guardian information

Parent / guardian 1 *Guardian 1 phone *Parent / guardian 2Guardian 2 phoneEmail *Home address *City *State *ZIP code *

Emergency contacts

Emergency contact 1 name *Contact 1 relationship *Contact 1 phone *Emergency contact 2 nameContact 2 relationshipContact 2 phone

Medical / physician information

Primary physicianPhysician phonePreferred hospital / clinicHealth insurance companyPolicy / ID numberAllergiesCurrent medicationsMedical conditions, injuries, restrictions, or other information

Programs *

All-Star 1 All-Star 2 Tumbling

Medical authorization and participation waiver

Emergency Medical Authorization: If I cannot be reached in an emergency, I authorize Vikings Cheer & Tip Toes Dance Studio, its owners, coaches, instructors, employees, and authorized representatives to obtain reasonable emergency medical care for my child, including transportation by emergency personnel when deemed necessary. I understand I am responsible for medical costs incurred on behalf of my child.

ACKNOWLEDGMENT OF ACTIVITIES AND RISKS I understand that cheerleading, dance, tumbling, stunting, conditioning, stretching, jumps, lifts, partner work, spotting, rehearsals, performances, competitions, and related activities are physically demanding and involve inherent risks. These risks may include falls, collisions, overuse injuries, sprains, strains, fractures, head or neck injuries, and other serious injury. I understand that even with instruction, supervision, mats, spotting, and safety rules, all risk cannot be eliminated.

Voluntary Participation and Assumption of Risk. I voluntarily permit my child to participate in studio activities. To the extent permitted by law, I knowingly accept and assume the ordinary and inherent risks associated with participation. I agree that my child will follow coach/instructor directions and studio safety rules and that I will disclose relevant medical restrictions or conditions that may affect safe participation.

Release and Waiver. To the fullest extent permitted by applicable law, I release and hold harmless Vikings Cheer & Tip Toes Dance Studio and its owners, coaches, instructors, employees, volunteers, and authorized representatives from claims arising from the ordinary and inherent risks of participation, except to the extent a claim cannot legally be waived. This form is not intended to waive rights that cannot lawfully be waived.

Medical Fitness. I represent that my child is physically able to participate except for restrictions disclosed on this form. I understand it is my responsibility to seek medical advice when I have concerns about my child's ability to safely participate.

Emergency Care. I authorize reasonable first aid and emergency response when necessary. If I cannot be reached, I authorize emergency evaluation and treatment as described on page 1.

I have read and acknowledge the medical authorization and participation waiver. *

Photo / video permission * YES — I give permission for photos/videos of my child to be used for studio-related communication, promotion, social media, website, or printed materials. NO — I do not give permission for promotional use of photos/videos of my child.

Parent / guardian consent

I have read and understand this registration, medical authorization, assumption-of-risk acknowledgment, and waiver. I certify that the information I provided is accurate and agree to notify the studio of important changes. I am the parent/legal guardian of the child listed on this form, or I am otherwise legally authorized to sign on the child's behalf.

Parent / guardian printed name *Date *Student name (when age appropriate)

Please sign the printable waiver and return it to the studio. Typing your name here does not replace the handwritten signature requested on the PDF.

I confirm the information above is accurate and that I am authorized to register this child. *

On a phone, choose Mail in the share menu and enter the studio email address. If sharing is unavailable, download the PDF and attach it to an email to vikingtiptoe@gmail.com. Medical information will be included in the email.