In consideration of the services of or Midsouth Extreme, Inc., its sub locations, its owners, agents, officers, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as “MSE”), I hereby agree to release, discharge, and hold harmless MSE, on behalf of myself, my child, my parents, my heirs, assigns, personal representatives, and estate as follows:

I understand and acknowledge that the activities in which I or my child engage while on the premises or under the auspices of MSE pose known and unknown risks which could result in injury, paralysis, death, emotional distress, or damage to me, my child, to property, or to third parties. The following describes some, but not all, of those risks: Cheerleading and gymnastics, including performances of stunts and use of trampolines, entail certain risks that simply cannot be eliminated without jeopardizing the essential qualities of the activity. Without a certain degree of risk, cheerleading students would not improve their skills and the enjoyment of the sport would be diminished. Cheerleading and gymnastics expose athletes to the usual risk of cuts, bruises, and other more serious risks. Athletes often fall, sprain or break wrists and ankles, and can suffer more serious injuries. Traveling to and from shows, competitions, and exhibitions raises the possibilities of any manner of transportation accidents. In any event, if either my child or I are injured, medical assistance may be required which I must pay for myself.
I expressly agree and promise to accept and assume all of the risks, known and unknown, connected with MSE-related activities, including but not limited to performance of stunts and use of trampolines. My participation and that of my child is purely voluntary. No one has forced or coerced me or my child to participate. I elect for myself and my children to participate in such activities in spite of the risks.
I hereby voluntarily release, forever discharge, and agree to hold harmless and indemnify MSE from any and all liability, claims, demands, actions, or rights of action, which are related to, arise out of, or are in any way connected with my child’s participation in MSE-related activities.
Should MSE be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and reimburse MSE for such fees and costs.
I certify that I and my child have health, accident, and liability insurance to cover bodily injury or property damage that may be caused or suffered while participating in any MSE event or activity, or else I agree to bear the costs of such injury or damage to me or my child. I further certify that I am willing to assume and bear the costs of all risks that may arise or be created, directly or indirectly, through or by any such condition.
In the event that I file a lawsuit against MSE, I agree to do so solely in Desoto County, State of Mississippi, and I further agree that the substantive and procedural laws of Tennessee shall apply in any such action without regard to the conflict of laws rules thereof. I agree that if any portion of this agreement is found void or unenforceable, the remaining portions shall remain in full force and effect.
I grant to MSE the right to take photographs and/or audio-video recordings of me and my family in connection with any MSE activities and events. I authorize MSE, its assigns, and transferees to copyright, reproduce, use, and/or publish photographs and/or audio-video recordings that may pertain to me and my family— including image, likeness, and/or voice, without compensation, in print and/or electronically. I agree that this material may be used with or without an identifying name and for any lawful purpose in various publications, advertising, promotions, recruitment materials, on social media, or for other related endeavors. This material may also appear on MSE’s website or other Internet sites.
By agreeing this, I acknowledge that if anyone is hurt or property is damaged during my participation or the participation of my child in any MSE event or activity, I may be found by court of law to have waived my right to maintain a lawsuit against MSE on the basis of any claim from which I have released MSE by signing this Agreement.

I authorize the MSE to charge the credit card or ECheck indicated on this authorization form according to the terms outlined. If the noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. I understand that this authorization will remain in effect until the installments expire if applicable. This payment authorization is for the monthly payment as indicated above if applicable. I certify that I am an authorized user of this credit card or bank account and that I will not dispute the payment and/or scheduled payments with my Credit Card Company or bank provided the transactions correspond to the terms indicated in this authorization form. If applicable for scheduled auto installment drafts are declined, a $25 fee will be assessed to your account.

Programs

Season 4 Evaluations

Your browser is out-of-date!