• Basketball clinic registration

  • Format: (000) 000-0000.
  • Player age
  • My Products

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      Basketball Clinic

      Girl's Helping Girl's

      Free$ Free
        
      Total
      $0.00$0.00
    • “Basketball Participation & Liability Waiver"

    • Emergency Information

    • Format: (000) 000-0000.
    • Informed Consent and Acknowledgement

      I hereby give my consent for my child to participate in all activities organized by Jump Forward Inc. during the selected camp session. In consideration of my child’s participation, I assume all risks and hazards associated with these activities and release, absolve, and hold harmless Jump Forward Inc., along with its officers, agents, and representatives, from any liability for injuries my child may sustain while traveling to, participating in, or returning from camp activities.

      In the event of an injury to my child, I waive all claims against Jump Forward Inc., including its coaches, affiliates, participants, sponsoring agencies, advertisers, and, when applicable, the owners and lessors of the facilities used for the event. I understand that participation in sports activities, including basketball, inherently carries risks. These risks may include, but are not limited to, fractures, paralysis, or death.

       

    • Medical Release and Authorization

      As the parent and/or guardian of the named athlete, I hereby authorize a qualified and licensed medical professional to diagnose and treat the minor child in the event of a medical emergency. This authorization applies when, in the opinion of the attending medical professional, immediate care is necessary to prevent further endangerment of the child’s life, physical disfigurement, impairment, or significant pain, suffering, or discomfort that would result from delayed treatment.

      I grant permission to the attending physician to proceed with any necessary medical or minor surgical treatment, x-ray examinations, or immunizations for the named athlete. In the event of a serious illness, major surgery, or significant accidental injury, I understand that every reasonable effort will be made to contact me as quickly as possible. This authorization is valid only after a reasonable attempt to reach me has been made.

      I also grant permission to Jump Forward Inc. and its affiliates, including Directors, Coaches, and Team Parents, to provide necessary emergency care prior to the child’s admission to a medical facility.

      This authorization applies for the dates and/or duration of the registered season.

      This release is executed of my own free will and is intended solely to authorize emergency medical treatment for the named minor child, ensuring the protection of their life and well-being in my absence.

    • Confirmation

      By acknowledging and signing below, I understand that my electronic signature carries the same legal effect as an original handwritten signature. I agree that this electronic signature is equally valid and binding as a manual paper signature.

    • Date
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