Donation Form

* INSTRUCTIONS *

1) Parent/Guardian please fill out and approve the
Parent Release & Consent Waiver, along with Sign-up Information.

2) Visit the AAU website at https://play.aausports.org/ to sign up for a youth membership. This provides additional participation insurance for $14.00 annually. Please note your membership number to include with your registration.

Step 1: Click "Get A Membership"
Step 2: Click "Youth Athlete Membership"
Step 3: Select the sport as "Cheerleading"
Step 4: Select "No" for member of a club
Step 5: Complete form information and then note your membership number upon completion.

3) Include your Payment details and Submit the entire page.

This form allows for pay by check, debit card, or a credit card.

If you need assistance or have questions about signing up,
please contact [email protected].

SAN DIEGUITO UNION HIGH SCHOOL DISTRICT (SDUHSD) AND TORREY PINES HIGH SCHOOL FOUNDATION (TPHSF)

Hold Harmless, Release and Waiver of Liability Agreement Related to COVID-19 for Extracurricular Activities

(please read carefully)

The student named below has requested permission to participate in extracurricular activities sponsored by the San Dieguito Union High School District (SDUHSD) and Torrey Pines High School Foundation (TPHSF). For the purposes of this Agreement extracurricular activities are optional non-credit activities, where the activities include, but are not limited to, conditioning, training sessions, ASB activities, clubs, ASSETS activities, bands, choirs, JROTCs, engaging in projects, meetings, or games, tournaments, and other competitive endeavors (when allowed), any related SDUHSD transportation to and from the foregoing, and entering and remaining in premises leased or owned by SDUHSD and/or TPHSF at the time when the extracurricular activity is being held (collectively, “Activity”).

In consideration for being permitted to participate in the Activity, I hereby acknowledge, affirm and agree to the following:

1. I am familiar with the Centers for Disease Control and Prevention (“CDC”) and County of San Diego (CSD) guidelines regarding the Novel Coronavirus Disease (“COVID-19”). I acknowledge and understand that the circumstances and symptoms regarding COVID-19 are changing from day to day and that, accordingly, the CDC and CSD guidelines are regularly modified and updated, and I agree to accept full responsibility for familiarizing myself with the most recent CDC and CSD modifications and updates.

2. I affirm that neither I, nor any person residing in my household, have been diagnosed with, demonstrated any symptoms of, or have in any way knowingly been exposed to COVID-19, within the past fourteen (14) calendar days. I further affirm that I have not been notified within the past fourteen (14) calendar days that I, nor any person residing in my household, has been exposed to COVID-19.

3. I agree that if I, or any person residing in my household, begin to experience symptoms similar to COVID-19, or if I, or any person residing in my household, are notified that I/they have been exposed to or infected with COVID-19 that I will immediately cease participating in the Activity. Furthermore, if I, or any person residing in my household, are notified that I/they have been diagnosed with COVID-19 and I have participated in the Activity within the last fourteen (14) calendar days from the date of diagnosis, that I will immediately notify SDUHSD and TPHSF of the diagnosis.

4. I acknowledge that I am aware that by participating in the Activity that there is a risk of being exposed to COVID-19, and/or any mutation or variation thereof. I am also aware that such an exposure can occur either directly or indirectly whether or not a mask and/or gloves are worn and that SDUHSD and/or TPHSF cannot guarantee that by participating in the Activity that there will be no exposure to COVID-19. I further acknowledge that while certain individuals are more susceptible to becoming seriously ill if they contract COVID-19 (such as people over 65, people with serious underlying health conditions, and those with compromised immune systems), anyone, including a healthy person, is susceptible to contracting COVID-19. I have independently evaluated and reviewed the risks of being exposed to or infected by COVID-19 and have determined to participate in the Activity with full knowledge and acceptance of the risks.

5. I understand and acknowledge that SDUHSD cannot eliminate the risk of exposure to COVID- 19 and by signing this HOLD HARMLESS, RELEASE AND WAIVER OF LIABILITY AGREEMENT, I fully and knowingly agree to ASSUME ALL RISKS associated with participating in the Activity and the exposure to or the infection of COVID-19, including any risk of illness, bodily injury, permanent disability and/or death related, directly or indirectly, to COVID-19.

6. I hereby voluntarily and knowingly agree to RELEASE, WAIVE, DISCHARGE and COVENANT NOT TO SUE SDUHSD OR TPHSF, including its/their officers, directors, employees, agents, and/or volunteers, (hereinafter “Releasees”) for any and all losses or damages resulting from illness, bodily injury, temporary or permanent disability, and/or death, whether caused by negligence of Releasees or which might occur as a result of my participation in the Activity that are related, directly or indirectly, from exposure to or infection with COVID-19.

7. To the maximum extent allowed by law, I hereby agree to INDEMNIFY AND HOLD HARMLESS the Releasees from and against any and all claims, demands, suits, judgments, losses or expenses of any nature whatsoever (including, without limitation, attorneys’ fees, costs and disbursements, whether of in-house or outside counsel and whether or not an action is brought, on appeal or otherwise), arising from or out of, or relating to, directly or indirectly, my exposure to or the infection of COVID-19, or arising from or out of, or relating to, directly or indirectly, me exposing or infecting others with COVID-19.

8. I agree that this HOLD HARMLESS, RELEASE AND WAIVER OF LIABILITY AGREEMENT is to be binding upon my spouse, children, heirs and assigns, and that the provisions contained herein shall be construed, interpreted and controlled according to the laws of the State of California.

9. I ACKNOWLEDGE THAT THIS HOLD HARMLESS, RELEASE AND WAIVER OF LIABILITY AGREEMENT WAS EXPRESSLY NEGOTIATED AND IS MATERIAL INDUCEMENT FOR THE PERMISSION GRANTED BY SDUHSD TO PARTICIPATE IN THE ACTIVITY.

PARENT RELEASE & CONSENT WAIVER

(please read carefully)

As the parents or legal guardian of the child (Participant) named below, I hereby give my full consent and approval for my child to participate in the camp, clinic, workout or tournament of the Torrey Pines High School Foundation. I authorize the Torrey Pines High School Foundation to use any photograph or article about my child for publicity purposes. I understand that violation of camp, clinic, workout or tournament rules may result in dismissal from the camp, clinic, workout or tournament with all fees/tuition forfeited. Additionally, I/We have read, understand and agree to the Torrey Pines High School Foundation refund policy.

I/We understand that the Torrey Pines High School Foundation carries the Group Accident Insurance Coverage for medical and hospital expenses, with a given deductible and a specified maximum for each accident incurred. The camp, clinic, workout or tournament is considered as secondary, when there is a valid collectable coverage provided by the parents separate insurance. In executing the foregoing I/We undersigned hereby acknowledge and represent that: (A.) I/We, understand that any claim for medical service which arises out of injury must be reported to the event insurance administrator, immediately and within THREE (3) DAYS of the date of injury; (B) I/We have read the foregoing release and understand it, and sign it voluntarily. I/We understand that my Registration Fee or other sum paid does not constitute payment for insurance.

In the event of an emergency in which my child requires medical care, I authorize the staff of Torrey Pines High School Foundation’s activity to act for me and to obtain for him/her whatever medical treatment the staff, in its best judgment, deems necessary and appropriate. I specifically consent to such treatment, but not limited to, hospitalization and surgery and will be responsible for any medical or other charges in connection with his/her attendance at the camp, clinic, workout or tournament.

I understand that there are certain risks of injury inherent in participating in the camp, clinic, workout or tournament sessions, as well in traveling and other activities incidental to my child’s participation in same and that my child is healthy and has no physical or mental disabilities or infirmities that would restrict full participation in these activities, except as listed below. I further acknowledge that my child will be participating in activities that may involve, among other things physical contact of the body with other persons or objects including the ground, that at the camp my child may incur a risk of injury. I specifically waive and release Torrey Pines High School Foundation, Torrey Pines High School and San Dieguito Union High School District, their lessors, sponsors, directors and staff from any liability for any claim for damages which I/We or my child may have for injuries or illness that he or she may sustain, whether the result of gross negligence or any other causes.

Waiver of California Civil Code S1542.
In furtherance of the foregoing releases, the parties expressly waive any and all rights and benefits conferred upon them by the provisions of Section 1542 of the California Civil Code, which provides: “A General Release does not exceed to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor.” The settling parties each acknowledge that they have discussed with their attorneys the significance and effect of waiving the provisions of Section 1542 of the California Civil Code, and warrant that this waiver is informed, knowing and voluntary.

AGREEMENT & INFORMATION MUST BE FILLED OUT ACCURATELY AND COMPLETELY

Participant Information, Health, Insurance Details & Payment

To be filled out by Parent or Legal Guardian.
Please submit 1 form per participant. Thank you.

Your Relationship to Participant:

Participant’s First Name

Participant’s Last Name

Squad

Program Cost

HEALTH HISTORY & HEALTH INSURANCE
If no conditions exist enter NONE. Please list and describe all physical or emotional limitation(s) your child may have, including but not limited to: Allergies, Vision, Asthma, Heart Murmur, High Blood Pressure, etc.

I confirm that the participant is covered by Health Insurance and that the health information provided is accurate.

Health Insurance Carrier

Insurance Policy Number

By checking this box I confirm that the participant has current AAU membership

AAU Membership Number

By checking this box you confirm that all the information provided in the above PARTICIPANT HEALTH INFORMATION is accurate to the fullest extent.

I confirm that all the information provided in the above PARTICIPANT HEALTH INFORMATION is accurate to the fullest extent.

By checking this box you confirm that you have read and agree to all terms in the above SDUHSD/TPHSF HOLD HARMLESS, RELEASE OF LIABILITY AGREEMENT RELATED TO COVID-19 FOR EXTRA CURRICULAR ACTIVITIES AND THE PARENT RELEASE AND CONSENT WAIVER.

I confirm that I have read and agree to the SDUHSD/TPHSF HOLD HARMLESS, RELEASE OF LIABILITY AGREEMENT RELATED TO COVID-19 FOR EXTRA CURRICULAR ACTIVITIES AND THE PARENT RELEASE AND CONSENT WAIVER AND WAIVER OF LIABILITY.

By clicking this box you confirm the use of electronic communication as your form of consent.

By checking here, you agree to the use of your electronic consent in lieu of an original signature on paper. You have the right to request to sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged and no special hardware or software is required to view it. Make sure that we have your current email address. I agree via electronic consent to the terms above.

Parent/Guardian Information

First Name

Last Name

Company Name

Address

Address 2

City

State/Province

Zip/Postal Code

Country

Cell/Emergncy Phone

Home Phone

Work Phone

Help Us Cover Costs - Tax Deductible Credit Card Processing Fees.

Simply leave "Yes!" checked below to ensure that 100% of your camp fees go to your team/booster.

Yes! I want to add the cost of credit card processing fees (3%) so that the full camp fee of $0.00 will go to your team/booster. The total payment amount will be $0.00. (For eCheck or ACH, there are no additional fees)No. I will pay $0.00 and TP Cheer will cover the processing costs.

Payment Information

Payment Options

Choose 'Bank Account' to Pay with a Check: Then simply click on the ? Help icon to see how to enter the routing and bank account numbers directly from one of your checks.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Country

Privacy Policy: We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through the TPHS Foundation web site. We use this information to process your payment.

Terms/Conditions: By submitting your payment, you authorize us to charge your account for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.