Waiver Acceptance *
Waiver & Consents: On behalf of my minor child, I hereby apply for his/her participation in The Little Ballers to accept this application. I hereby warrant that both myself and my child are familiar with the risks associated with participation in an active sport such as basketball; furthermore, I warrant that my child is in good health, has no condition or defect which would interfere with his/her participation. In short, my child is active, in good health, and anxious to play basketball. I do hereby agree and consent to my child's participation in The Little Ballers during work-outs, and also assume all risks and hazards which are incidental to the conduct of the activities. I hereby release, absolve, indemnify and hold harmless Club Utah Basketball Academy, its officers, directors, employees, agents and any of them, their sponsors, organizers, and supervisors of any and all liability or damage, injury, or expense of any kind arising out of, or connected with, my child's participation in The Little Ballers program. I am hereby informed that all rostered players are covered by an insurance policy in case of accident or medical emergency while participating in an activity sponsored by Club Utah Basketball Academy. I further understand that in case of a medical emergency, my own personal medical plan, if I have one, will be used prior to the insurance provided through Club Utah Basketball Academy. If I do not have a personal plan, the above insurance will take effect immediately. Participation in competitive athletics may result in serious injury. It is impossible to TOTALLY eliminate such occurrences from competitive sports. Players can reduce the risk of serious injury by obeying safety rules, following a proper conditioning program, and maintaining their equipment properly. EVEN IF ALL THESE REQUIREMENTS ARE MET, AND EVEN IF THE ATHLETE IS IN EXCELLENT PHYSICAL CONDITION WITH PERFECT EQUIPMENT, SERIOUS ACCIDENTS MAY STILL OCCUR. AS A CONDITION OF PARTICIPATION IN The Little Ballers basketball program. If the above named person needs emergency medical treatment and neither the parent nor the family physician can be contacted, consent is hereby granted for such emergency treatment as may be considered necessary in the opinion of the attending physician. I ACKNOWLEDGE THAT I READ THIS CONSENT FORM AND KNOWINGLY, ON BEHALF OF MY CHILD, ASSUME ALL THE RISKS ASSOCIATED WITH PARTICIPATING IN ANY WAY IN The Little Ballers Basketball Program.
Refund Policy: There is no refunds once the month has started. This is a 5-month program commitment.
Media Release Policy: As a member of Club Utah Basketball Academy programs, I hereby authorize and consent to the use of my child's name and visual image by the State of Utah for appropriate purposes, including but not limited to: still photography, video, social media, electronic and print publications, marketing and websites. I give this consent with no claim for payment.
I HAVE READ AND FULLY UNDERSTAND THIS ASSUMPTION OF RISK AND WAIVER OF LIABILITY AND ACKNOWLEDGE THAT I HAVE WAIVED CERTAIN RIGHTS BY DIGITALLY SIGNING IT THROUGH THE ONLINE REGISTRATION FORM