Believe It Basketball Academy Camp Registration Form

Believe It Basketball Academy Athlete Training Profile

Please complete the form below:
Athlete Name*

First NameLast Name
Birth Date*

MonthDayYear
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
School Name
Grade
Preferred Training Days/Times*
Skill Level*

BeginnerIntermediateAdvanced
What goals would you like to achieve through training?*
Please share any medical restrictions
Parent/Guardian's Name (if athlete is under 18 years of age)

First NameLast Name
Phone Number
E-mail Address
example@example.com
Emergency Contact Name*

First NameLast Name
Phone Number*
How did you hear about us? *

Waiver
Universal Permission and Medical Release Statement

In consideration of my/my child's participation in the Believe It Basketball Academy Training, with full knowledge of the risks of injury or illness, I hereby authorize the Believe It Basketball Academy coaches, assistant coaches, officers, directors, and volunteers to act for me in the event of an emergency, and administer emergency medical treatment for any injury or other medical emergency while training. This permission and consent extends the right to those enumerated above to arrange for medical treatment by a licensed or certified physician and/or other medical personnel, and for them to apply such emergency techniques which, in their judgement, they deem appropriate to treat injury or illness.
Photo Release Statement

I hereby consent to the publication and use of my/my child’s name and/or likeness (“Likeness”) for the purpose of promotion, publicity, advertising, or other manner or media by Believe It Basketball Academy or any other representative authorized to act on behalf of the aforementioned entity. Likeness shall include, but not be limited to, photographs, sound and/or video recordings, films, broadcasts, brochures, publications, reports, web pages, promotional materials, or any other audio-visual, electronic, printed, tangible work in any media or format, now known or hereafter to become known, and/or reproductions of any of these. I agree that no royalty, fee or other compensation shall become payable to me by reason of such use.
Informed Consent and Acknowledgement

I hereby give my approval for my/my child’s participation in any and all activities prepared by Believe It Basketball Academy, while training. In exchange for the acceptance of candidacy by this organization, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless this organization, all its respective officers, agents, and representatives from any and all liability for infectious disease (including but not limited to MRSA, influenza, and COVID-19), illness or injuries arising out of traveling to, participating in, or returning from selected training sessions. In case of injury, I hereby waive all claims against the organization including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and if applicable, owners and lessors of premises used to conduct the training. There is a risk of illness or injury that is inherent in all sports activities, including basketball. Some of these injuries include but are not limited to the risk of fractures, paralysis, or death. I further verify that I/my child or ward is physically fit to enter this basketball program.
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND AND AGREE TO ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND BELIVE IT BASKETBALL ACADEMY, ALL COACHES AND AFFILIATES, ALL PARTICIPANTS, SPONSORING AGENCIES, ADVERTISERS, AND IF APPLICALBLE, OWNERS AND LESSORS OF PREMISIS USED TO CONDUCT THE EVENT, AND SIGN IT OF MY OWN FREE WILL.
Signature*

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Date*

MonthDayYear
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Believe It Basketball Academy Athlete Training Profile

Waiver

Universal Permission and Medical Release Statement

Photo Release Statement

Informed Consent and Acknowledgement