WAIVER/RELEASE OF LIABILITY/MEDICAL CONSENT
DISCLAIMER: D-UP Basketball Academy, a Pennsylvania and Ohio corporation, its coaches, employees, representatives, agents, vendors, and independent contractors (hereinafter collectively known as the “D-UP Basketball Academy”), shall not be responsible for any injury to any person or loss of any property which occurs as a result of participation in any basketball tryouts, camps, clinics, practices, tournaments or other programs, run, sponsored or supported by D-UP Basketball Academy (“D-UP Activities”).
The undersigned, on my own behalf and on behalf of my minor children or wards, hereby releases and holds D-UP Basketball Academy harmless for any or all claims for personal injury, wrongful death or property loss or damage arising out of, in connection with, participation in D-UP Basketball Academy Activities, its equipment and facilities and any activities incidental thereto, wherever, whenever, or however the same may occur. I hereby voluntarily waive any and all claims that may be made by me, my family, estate, heirs, or assigns.
I am aware of the risks to persons and property posed by engagement in the D-UP Basketball Academy Activities. I am voluntarily participating with knowledge of the risks involved in the D-UP Basketball Academy Activities and I hereby agree to accept any and all inherent risks of personal injury, death or property damage or loss. I understand that this waiver is intended to be as broad and as inclusive as permitted by the laws of the States of Pennsylvania and Ohio, and agree that if any portion is held invalid, the remainder of the waiver and release will continue in full force and affect. I affirm that I am of legal age and freely sign this agreement on my behalf and on the behalf of my minor children or wards.
I have read this form and fully understand that by signing this form, I am giving up all legal rights and/or remedies which may be available to me for personal injury, wrongful death or property damage or loss arising out of, or in connection with, my (or my minor children’s or ward’s) participation in D-UP Basketball Academy Activities.
Further, in the event of any injury, I hereby give my permission and consent and authorize emergency first aid/or hospital care or treatment for my child/ward if deemed necessary by qualified medical or emergency personnel or by said representatives of D-UP Basketball Academy, and further agree to assume all expenses for treatment.