Waiver and General Release Form

Athlete Information

Parent/Guardian Information

Emergency Information

IN CONSIDERATION OF my child being allowed to participate in any way in TC3 Basketball related events, training sessions, camps, clinics, and activities, the undersigned acknowledges, appreciates, and agrees that:

I understand that basketball training sessions, camps, clinics, and skill development activities may be conducted by TC3 Basketball coaches, staff, or approved independent trainers operating under TC3 Basketball programming. These individuals may include coaches, instructors, independent trainers, and other representatives working on behalf of TC3 Basketball.

The risks of injury and illness such as MRSA, influenza, and COVID-19 to my child from the activities involved in these programs are significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist. Basketball training activities may include physical drills, sprinting, jumping, cutting, defensive movements, conditioning exercises, strength work, and the use of training equipment which carry inherent risks of injury.

FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my child’s participation.

I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual or significant concern in my child’s readiness for participation and/or in the program itself, I will remove my child from participation and bring such attention to the nearest official immediately.

I, myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives, and next of kin, HEREBY RELEASE AND HOLD HARMLESS TC3 Basketball LLC; its owners, directors, officers, employees, coaches, independent trainers, instructors, contractors, representatives, volunteers, and agents; Southern State Community College, its directors, officers, officials, agents, employees, and volunteers; other participants; sponsoring agencies; sponsors; advertisers; and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property incident to my child’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.

I understand that TC3 Basketball does not provide medical or accident insurance coverage for participants. I acknowledge that it is the responsibility of the parent or legal guardian to maintain appropriate medical and health insurance coverage for the participant.

I, the parent/guardian, assert that I have explained to my child the risks of the activity, his/her responsibilities for adhering to the rules and regulations, and that my child understands this agreement.

I, FOR MYSELF, MY SPOUSE, AND CHILD, HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Medical Release and Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional of the minor child, in the event of a medical emergency which, in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering, or discomfort if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination, and immunizations for the named athlete.

In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to TC3 Basketball and its affiliates to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances for the protection of life and limb of the named minor child in my absence.

 

PHOTO/VIDEO RELEASE FORM

I hereby grant TC3 Basketball LLC and its partner Swish the right to take photographs and/or videos of me during any and all TC3 Basketball events and trainings.

This permission extends to photographs or videos taken by TC3 Basketball coaches, staff, or approved independent trainers during training sessions, events, camps, or clinics.

I understand that these photographs and/or videos may be used for promotional and/or educational purposes.

I agree to the following terms and conditions:

I grant TC3 Basketball LLC and Swish the right to use and publish photographs and/or videos of me for promotional and/or educational purposes including but not limited to websites, social media, print, and multimedia materials.

I understand that my name may be used in connection with the photographs and/or videos.

I agree that TC3 Basketball LLC and Swish own all rights to the photographs and/or videos and that they may be used in perpetuity.

I acknowledge that there will be no financial compensation for the use of my photographs and/or videos.

I release and discharge TC3 Basketball LLC and Swish from any and all claims and demands arising out of or in connection with the use of my photographs and/or videos, including but not limited to any claims for invasion of privacy or defamation.

I represent that I am the participant named above and have the authority to grant permission for the use of my photographs and/or videos.

I have read this release and fully understand its contents. By signing below, I agree to the terms and conditions of this release.

 

The undersigned guardian of the participant hereby consents on behalf of the participant. I agree to be bound by the injury waiver and general release form attached to which has been signed by the participant.

The Guardian also represents, warrants and agrees that they are entitled to the care and custody of the participant and are the participant's legal guardian(s).

For a reasonable time afterwards, guardians will use all reasonable efforts to prevent the participant from attempting to disaffirm the injury waiver and general release form signed by the participant.

The Guardian hereby acknowledges that they have read the injury waiver and general release form and are satisfied that it is fair and equitable for the benefit of the participant and that the guardian will not revoke this consent and approval.

Confirmation

I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for adhering to rules and regulation, and accept them as a participant.

 

BY ACKNOWLEDGING AND SIGNING BELOW, 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.