Hoop Sesh Player Development Form

Name of Participant

Gender

Date of Birth

Date

Grade

T shirt size

Name of School Participant Attends

Years of Playing Experience

Goals for Participant

Medical Concerns

Participant Parent/Guardian Name

Street Address

City

State

Zip Code

Phone

Email

example@example.com

Name of Emergency Contact

Phone

Relationship to Participant

There is a no refund policy on sessions purchased. Package sessions must be used consecutively and within the time specified. Hoop Sesh Training, LLC reserves the right to cancel an event or program due to insufficient registration with full refunds and notification.

Medical Release and Liability Release

Participation in all sports can be inherently dangerous and it is impossible to ensure the safety of all participating individuals. Basketball demands cardiovascular fitness, coordination, and agility. Although many risks can be avoided, I understand that not all risks can be and release Hoop Sesh Training. LLC from responsibility for any injury that my child might incur during normal play. I agree to also indemnify and hold harmless the volunteers, trainers, and ownersof the organization. I further understand that in the event of a medical emergency, Hoop Sesh will call EMS to render assistance and that I will be financially responsible for any expenses.

Photographs and video may be taken at any time on behalf of Hoop Sesh Training, LLC. Your attendance at Hoop Sesh photographed, videotaped and Basketball sponsored events will constitute your irrevocable consent to be recorded, your irrevocable consent to the use of your likeness by Hoop Sesh Training and others acting on its behalf, for the purpose of advertising and promotion in any media, throughout the world in perpetuity including but not limited to television and the world wide web, and your waiver of any compensation or permission for such

By signing this Agreement, Member acknowledges that he/she has read and agrees with this Agreement, which includes the Waiver and Release of Liability current Membership Rules and Regulations, and a payment schedule. This Agreement constitutes the entire agreement of the parties and no other agreement or understanding exists between Member and HoopSesh. HoopSesh has made no express or implied warranties or representations, other than expressly set forth in this Agreement. Any conflict between the original document and any copy of the original shall be controlled by the original document.

Date

Signature of Parent/ Guardian

Registration Form