Release & Agreement
LEGAL AGREEMENT
JAXX CITY BALLERZ INC Basketball Program
(Assumption of Risks, Release of Liability, Waiver of Claims, and Indemnity Agreement)
BY SIGNING THIS DOCUMENT, YOU WILL GIVE UP LEGAL RIGHTS, WHICH
INCLUDING THE RIGHTTO SUE.
PLEASE TAKE YOUR TIME AND READ CAREFULLY
1. This is a legal agreement between players or Parent /Legal Guardian of player(s) of players of
JAXX CITY BALLERZ INC (“JAXX CITY BALLERZ”) and JAXX CITY BALLERZ INC.
basketball program.
2. By signing this agreement, I confirm that I am the child’s parent or legal guardian, or that I
otherwise have legal authority to sign this agreement on behalf of the child. ____
3. By enrolling my child in the basketball Program, I acknowledge that I my child is fit to engage
in this physical activity. I understand and accept ALL risks, which includes the possibility of but
not limited to, physical and emotional injury, cuts and bruises, muscle and joint sprains, strains,
and broken bones. I, _________________________ ,VOLUNTARILY ACCEPT AND
ASSUME ALL OF THE RISKS ASSOCIATED WITH JAXX CITY BALLERZ
BASKETBALL ACTIVITIES AND I CHOOSE TO PARTICIPATE DESPITE THE RISKS.
_____
4. I accept full responsibility of any lost, stolen, and or damage personal items and will not hold
JAXX CITY BALLERZ, their employees, and volunteers accountable. ____
5. JAXX CITY BALLERZ employees seek to create a safe environment, but are unable to
eliminate all of the risks associated with the sport of basketball. I understand it is not possible to
eliminate many of the risks associated with the sport of basketball without jeopardizing the
essential qualities of the activity. I,____________________________, understand and accept
ALL of the risks associated with JAXX CITY BALLERZ basketball activities, which includes
but not limited to, physical or emotional injury. _____
6. By signing this agreement on behalf of my child, I confirm that I have assessed the risks
associated with JAXX CITY BALLERZ basketball activities and I VOLUNTARILY ALLOW
MY CHILD TO PARTICIPATE in JAXX CITY BALLERZ Basketball Program despite the
risks. I will accept ALL responsibility and liability for any injury incurred during the hours that
my child is involved in the JAXX CITY BALLERZ Program. ______
7. I confirm that I have read and understand the rules governing my child’s participation in
JAXX CITY BALLERZ Basketball program. I understand that JAXX CITY BALLERZ rules
have been implemented for the safety of all participants, and I have explained the rules to my
child. I understand that my child’s failure to follow JAXX CITY BALLERZ rules could result in
physical and financial damages, injury, or death. _____
8. I acknowledge that my child’s failure to follow the rules could result in EXPULSION from
JAXX CITY BALLERZ. _____
9. I agree to GIVE UP MY RIGHT TO SUE JAXX CITY BALLERZ OR ANY OF ITS
EMPLOYEES DUE TO ANY CAUSE WHATSOEVER, including JAXX CITY BALLERZ
negligence. breach of the Occupiers’ Liability Act, R.S.O. 1990, c. O.2. for any damages,
physical or emotional injury, or death that I, or my family, or estate may suffer as a result of my
child’s participation in JAXX CITY BALLERZ Basketball Program. I, ________________,
agree to waive ANY AND ALL claims that I have or may have in the future against JAXX
CITY BALLERZ. ____
10. I also agree to hold harmless and indemnify JAXX CITY BALLERZ from any and all
liability for any damages, physical and emotional injury, or death caused to any third party as a
result of my or my child’s participation in JAXX CITY BALLERZ basketball program. ____
11. I agree that if any portion of this agreement is found to be void, unenforceable, or
inapplicable, the remaining portions shall remain in full force and effect. _____
12. I confirm that have had sufficient opportunity to read this entire agreement, have understood
the terms of this agreement and AGREE TO BE BOUND by the terms of this agreement. ____
13. I have been given the opportunity to ask questions about this agreement and are satisfied with
the answers I have received concerning the questions that I have asked. _______
14. All Payments made to JAXX CITY BALLERZ are non-refundable and non-transferable.
Parent/Legal Guardian/Power of Attorney Name _______________________
Minor Participant(s) Full Name: ________________________________________
Minor Participant(s) Birth Date: _________________________________________
Signature: ______________________________________________
Date:______________________________________________