• Free Basketball Training Fundraiser Registration Form

  • Day of Participation*

  • INSTRUCTION FOR PARTICIPATION – FREE BASKETBALL TRAINING FUNDRAISER

    1. Faith-Based Activity:
    This is a Christian-oriented event. The environment, communication, and discipline will reflect our faith-based values of respect, integrity, and kindness.

    2. Purpose of Event:
    This free training session is held in partnership with Food for HOPE – The Care Center of New Jersey to support families in need during the holiday season.

    3. Attendance Commitment:
    Space is limited. Please register only if your child can attend. If plans change, notify us so we can release the spot to another family.

    4. Registration Confirmation and Attendance
    Spots are limited, and each registration reserves a place for an athlete. Parents and guardians must confirm attendance when contacted by the event organizers. If plans change, please notify us promptly so the spot can be offered to another athlete. Registrations that are not confirmed will be released to athletes on the waiting list.

    5. Training Readiness:
    This is a structured basketball training session for athletes who can safely participate in drills, follow coaching instructions, and actively engage in the training activities. We encourage parents and guardians to assess whether the session is appropriate for their child before registering.

    6. Arrival Time:
    Participants should arrive at the venue at least 15 minutes before the scheduled start time to allow for check-in and pre-warmup.

    7. Dress Code:
    Please wear comfortable athletic attire and non-marking athletic shoes suitable for indoor basketball activities.

    8. Equipment:
    Due to limited basketballs, players may bring their own basketball if they have one. Please label all personal basketballs and ensure they are taken home after the session.

    9. Parent & Spectator Policy:
    Parents are not allowed on the basketball court. A designated courtside viewing area will be available for parents who wish to stay and watch.

    10. Code of Conduct:
    All participants are expected to conduct themselves in a sportsmanlike manner, respecting fellow participants, instructors, and facility rules at all times. Any violation will result in immediate removal and may affect participation in future events.

    11. Safety:
    Participants must follow all safety instructions provided by instructors. Report any injuries or concerns immediately to coaches or event organizers.

    12. Photography and Video:
    Professional photographers/videographers may be present. If you do not wish to be photographed or filmed, please select “Non-Consent” in the Photo/Video Release Waiver below and notify event organizers upon arrival.

    13. Donations:
    Participation is free. If you wish to support Food for HOPE, optional donations are welcome and will help provide meals for families in need. A donation will be available by the coutside on the day of event.

    14. Enjoy the Experience:
    Whether you’ve worked with us before or are joining us for the first time, we encourage all players to bring great energy, work hard, have fun, and represent excellence throughout the session.

    15. Emergency Contact for this Activity:
    Host & Head Coach:
    James Ankra
    (551) 245-6466
    extramilebasketballnj@gmail.com

  • PARTICIPANT INFORMATION (PLAYER)

     
  • Participant's Status (Player)*
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  • Does your child have any learning, behavioral, or developmental differences (such as ADHD, Autism Spectrum, or others) that we should be aware of to provide the best support during training?*
  • Does your child have any allergies, chronic illness, or medical conditions that would limit or affect high-level physical activity?*

  • PARENT / GUARDIAN INFORMATION

     
  • Format: (000) 000-0000.

  • EMERGENCY CONTACT INFORMATION

     
  • Format: (000) 000-0000.

  • GUARDIAN/PARENTS PERMISSION FOR EMERGENCY TREATMENT 

     
  • In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for My Child (Participant). I give consent for the facility to secure any and all necessary emergency medical care for My Child (Participant).*

  • ACTIVITY LIABILITY WAIVER

    IN CONSIDERATION of being allowed to participate in the Activity and other good and valuable consideration, the receipt of which is hereby acknowledged, I (Guardian/Parent Full Name) * of   * (Participant Full Name), agree with James Ofei Ankra-Badu of Extra Mile Basketball NJ LLC (the Activity Provider) to the following:

  • DETAILS OF ACTIVITY

    1. Scheduled from December 12th, the Participant will be participating in the following activity: Free Basketball Training Fundraiser (the Activity) provided by the Activity Provider.

    Location: Empire Sports & Training, 525 Riverside Avenue, Lyndhurst, NJ 07071

    CONSIDERATION

    2. Being of lawful age and in consideration of being permitted to participate in the Activity, the Participant releases and forever discharges the Activity Provider, the Activity Provider's spouse, heirs, executors, administrators, legal representatives, and assigns from all manner of actions, causes of action, debts, accounts, bonds, contracts, claims, and demands for or by reason of any injury to person or property, including injury resulting in the death of the Participant, which has been or may be sustained as a consequence of the Participant's participation in the Activity, and not withstanding that such damage, loss, or injury may have been caused solely or partly by the negligence of the Activity Provider.

     3. The Participant understands that the Participant would not be permitted to participate in the Activity unless the Participant signed this Waiver.

    CONCURRENT RELEASE

    4. The Participant acknowledges that this Waiver is given with the express intention of effecting the extinguishment of certain obligations owed to the Participant by the Activity Provider, and with the intention of binding the Participant's spouse, heirs, executors, administrators, legal representatives, and assigns.

    FITNESS TO PARTICIPATE

    5. The Participant acknowledges to the Activity Provider that the Participant does not have any physical limitations, medical ailments, or physical or mental disabilities that would limit or prevent the Participant from participating in the Activity. If required, the Participant will obtain a medical examination and clearance.

    FULL AND FINAL SETTLEMENT

    6. The Participant acknowledges and agrees with the Activity Provider that: (1) the Activity Provider has given the Participant sufficient time to carefully read this Waiver, (2) the Participant has been given the opportunity and has been encouraged to seek independent legal advice prior to signing this Waiver, (3) the Participant fully understands the risks and claims that the Participant is waiving to participate in the Activity, (4) the Participant is freely and voluntarily executing this Waiver, and (5) the Participant is forever prevented from suing or otherwise claiming against the Activity Provider for any property loss or personal injury that the Participant may sustain while participating in or preparing for the Activity.

    GOVERNING LAW

    7. This Waiver will be governed by and construed in accordance with the laws of the State of New Jersey.

    RELEASE OF LIABILITY

    8. Although the safety of all sport activities is the primary concern, indoor sport activities at Sport Center's facilities may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the Sport Center and the persons in charge.

  • PHOTO/VIDEO RELEASE FORM
    I hereby grant Extra Mile Basketball NJ LLC (Activity Provider) the irrevocable right and permission to use photographs and/or videos taken of my child (Participant/Player) during the Free Basketball Training Fundraiser on Decemeber 12th, 2026, for promotional, educational, and/or informational purposes, including but not limited to publications, websites, social media, and other marketing materials. I understand and agree that these materials will become the property of Extra Mile Basketball NJ LLC and will not be returned. I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown. I hereby agree to release, defend, and hold harmless Extra Mile Basketball NJ LLC from and against any claims, damages, or liability arising from or related to the use of the photographs and/or videos.

  • *

  • IN WITNESS WHEREOF the Guardian/Parent of Participant has duly affixed their signature on this date:   Pick a Date*    *               

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