PARTICIPATION WAIVER: The Summer Gauntlet Tournamet Series 2024

PARTICIPATION WAIVER: The Summer Gauntlet Tournamet Series 2024

(To Be Completed For All Player Event Participants)

Team Name / Team Age & Gender*

Team NameTeam Age & Gender

Player*

First NameLast Name

Player Jersey #

Player Birthday*

Date

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent / Guardian Name*

First NameLast Name

Parent / Guardian Email*

example@example.com

Parent / Guardian Phone Number*

Area CodePhone Number

Parent / Legal Guardian's Relationship to Participant*

WAIVER FORM & EMERGENCY MEDICAL RELEASE

We authorize all medical, surgical, diagnostic and hospital procedures as may be performed or prescribed by a physician if I cannot be reached in case of an emergency. I hereby grant permission to GBD Hoops to have my son/daughter treated by a physician if necessary. Both Participant and Parent/Guardian acknowledge that Participant is physically able according to our physician to participate, and I acknowledge that I am responsible for any and all medical expenses due to my child’s illness or injury.

WAIVER AND RELEASE OF LIABILITY: Participant and Parents or Legal Guardian represent to GBD Hoops that Participant is in physically sound condition and has no disability, illness or other condition preventing Participant from participating in sports such as basketball. Participant understands and acknowledges that participation in basketball or other physical activities involves or otherwise includes risk of injury. Participant fully understands, accepts and assumes any and all risks involved or in connection with the participation in these sports and activities. Participant promises and agrees that neither GBD Hoops nor any agent, employee, or person associated with GBD Hoops or any of its affiliates shall be held liable or responsible for any claims, damages, or losses arising out of or in connection with participant’s use of or presence at GBD Hoops premises. Participant further promises and agrees to indemnify and to hold GBD Hoops, its agents, employees and its affiliates harmless from any and all claims, damages or losses arising out of or in connection with participant’s use of or presence at GBD Hoops premises. Participant further promises and agrees that neither GBD Hoops, its agents, employees, or any of its affiliates shall be liable or responsible for any loss or theft of personal property. I understand and acknowledge that signing this release means my name or likeness may be used in promotional materials made available to the public.

Waiver & Release of All Claims:*

I Accept the Above Terms & Conditions

E-Signature: (Participant - Parent/Guardian):