• BALLFX SUMMER BASKETBALL RETREAT

    PRICING OPTIONS - SIBLING, PRO RATED, TEAM
  • Athlete Information

  • Parent/Guardian Information

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  • Emergency Information

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  • RELEASE OF LIABILITY

    In consideration of personal training and granting my son/daughter to participate, I hereby state that BALLFX training program and any trainers associated with BALLFX training program are not responsible for any pre-existing injury, recurrence of any undisclosed pre-existing injury or illness of the above student.  The BALLFX training program is not responsible for any injury or illness that occurs during the duration of the training session.  I further acknowledge and release BALLFX training program and any trainers associated with, from liability, including claims and suits at law or equity, for injury, which may result from the trainee taking part of the training session.  I, as a parent or guardian, acknowledge and fully understand that the participant will be engaging in activities that involve risk of serious injury.  Further, that there may be other risks not known or not reasonably foreseen at this time. I assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.  I release, waive, discharge and covenant not to bring legal action upon BALLFX training program and any participants or anyone associated with the individual training sessions. 

    Medical Release: As a parent or guardian, I assume all risks, injury or illness, for my child(ren) that may occur during the participation in any activities or use of facilities in the clinic. In the event my child(ren) need medical treatment due to accident, injury, or natural causes, while participating in the program/clinic, I authorize the staff, operators and applicable employees to take whatever action deemed necessary to care for my emergency medical treatment to the best of their ability. I certify I am fully responsible for all costs incurred due to medical or dental treatment as deemed necessary by staff, employee and operators.

    Photo Release: I understand that I and/or my child(ren) may be photographed, videotaped, or otherwise recorded and agree on behalf of myself and/or my child(ren) that BALLFX may use my and/or my child(ren)’s name and likeness (in any form and without regard to distortions of character, form or color, or any other alteration) in photographs, videotapes, audiotapes, and other media, without any additional consideration to myself and/or my child(ren) or to any third party. I grant permission for BALLFX and their agents to utilize the clinic participant’s name, image or likeness in any live or recorded audio, video or photographic display or other transmission or reproduction, in whole or in part. I will notify BALLFX if there is any reason why my child may not be photographed or may not have his or her name used. 

     

  • Confirmation

    BY ACKNOWLEDGING AND SUBMITTING THIS FORM, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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