In consideration of my participation in the UBALL Basketball League: 

WAIVER, RELEASE AND ASSUMPTION OF RISK: I hereby waive, release and discharge all claims for death, personal injury or property damage which may occur as a result of my participation or, as applicable, my child's participation in the UBALL Basketball League or any activity incident thereto. This release discharges in advance UBALL LLC and all state and local governmental entities associated with the activity, and their respective officers, employees, agents, servants, game officials, referees and volunteers (collectively, "Release Parties") from liability even though that liability may arise out of the Released Parties' active or passive negligence or carelessness. I acknowledge that basketball involves an element of risk or danger of accidents, injury and even death, and knowing those risks, I freely and voluntarily assume the risk of injury and/or death and I promise not to sue or exercise any legal right to seek damages from the Release Parties. By this Agreement, I also intend to waive, release and discharge all claims for personal injury, death or property damage caused by the condition of the basketball court or any equipment thereon, including hoops, backboards, poles, nets and balls. 

I understand that this WAIVER, RELEASE AND ASSUMPTION OF RISK form will remain on file with the Released Parties and that it will apply to the current season as well as my participation in future seasons in the UBALL League. 

I certify that I, or as applicable, my child, have no medical condition that would cause participation in the UBALL Basketball League to increase the risk of hazards to my health. In addition, I authorize the Released Parties to provide or cause to be provided such medical treatment that may be necessary or appropriate if I am, or as applicable my child is, injured while participating in the basketball league. 

USE OF NAME AND LIKENESS: I grant to UBALL an exclusive, irrevocable license to make use of, copy, reproduce, modify, adapt, distribute, transmit, broadcast, display, exhibit, project, and to otherwise exploit my, and/or my child's, likeness, voice, basketball activities, including pregame and postgame activities, interviews, and the like ("Content") alone, or in composite with other materials, including, without limitation, audio, video, animation, text and graphics, by any means, methods and technologies now known or hereafter to become known in connection with the creation, development, production, manufacture, packaging, promotion, distribution, sales of UBALL, its products, the UBALL League and any related ventures, including without limitation, the production of UBALL League episodes, commercials or promotional videos. 

CONCUSSION RISK AND PROTOCOLS: I acknowledge receipt of the concussion and head injury information sheet. Please note that this Information Sheet is provided for information purposes only and does not constitute medical advice. In the event that you suffer an injury, please seek medical advice for any and all appropriate treatments. 

By signing below, you acknowledge that you have received the Concussion Information Sheet (Attachment 1), and that you have read and understand the contents. 

I hereby agree to all terms of this Release of Liability and Acknowledgment of Protocols. 

Attachment 1 

CONCUSSION INFORMATION SHEET 

This information sheet is provided to assist you in recognizing the signs and symptoms of a concussion. Every athlete is different and responds to a brain injury differently, so seek medical attention if you suspect that you have a concussion. Once a concussion occurs, it is very important for you to return to normal activities slowly so that you do not do further damage to your brain. 

What is a Concussion? 

A concussion is an injury to the brain that may be caused by a blow, bump, or jolt to the head. Concussions may also happen after a fall or hit that jars the brain. A blow elsewhere on the boy can cause a concussion even if the athlete does not hit his/her head directly. Concussions can range from 

mild to severe. 

Signs and Symptoms of a Concussion 

Athletes do not have to be "knocked out" to have a concussion. In fact, less than 1 out of 10 concussions result in loss of consciousness. Concussion symptoms can develop right away or up to 48 hours after the injury. Ignoring any signs or symptoms of a concussion puts your heath at risk. 

Signs Observed by Coaches, Officials 

Appears dazed, stunned or confused 

Unsure about event, location or name of event 

Moves clumsily 

Answers questions slowly 

Loses consciousness (even briefly) 

Shows behavior or personality changes - irritability, sadness, nervousness, emotional Can't recall events before or after incident 

Symptoms Reported by Athletes 

Any headache or "pressure" in head - how badly it hurts does not matter 

Nausea or vomiting 

Balance problems or dizziness 

Double or blurry vision 

Sensitivity to light and/or noise 

Feeling sluggish, hazy, foggy or groggy 

Concentration or memory problems 

Confusion 

Does not "feel right" 

Trouble falling asleep 

Sleeping more or less than usual 

Be Honest 

It is important that you are honest about how you feel. It is easy to get caught up in the moment or feel pressure to return to the game before you are ready. It is better to miss practice or games to prevent further damage to your brain. 

Seek Medical Attention Right Away 

Seeking medical attention on the day of the event is an important first step if you suspect a concussion. A qualified health professional will be able to determine how serious the concussion is and when it is safe for you to return to sports and other daily activities: 

о 

No athlete should return to activity on the same day he/she gets a concussion 

No athlete may return to training regardless of sport, until he/she is cleared by a health care professional. 

The Dangers of Returning Too Soon 

Returning to gameplay too early may cause Second Impact Syndrome (SIS) or Post-Concussion Syndrome (PCS). SIS occurs when a second blow to the head happens before an athlete has completely recovered from a concussion. This second impact cause the brain to swell, possibly resulting in brain damage, paralysis, and even death. PCS can occur after a second impact. PCS can result in permanent, long-term concussion symptoms. The risk of SIS and PCS is the reason why no athlete shold be allowed to participate in any physical activity before they are cleared by a qualified health care professional. 

Recovery 

A concussion can affect work and sports. During the recovery time after a concussion, physical and mental rest is required. A concussion upsets the wy the brain normally workds and cuasue it to work longer and harder to complete even simple tasks. Activities that require concentration and focus may make symptoms worse and cause the brain to heal slower. 

Returning to Daily Activities 

1. Be sure to get plenty of rest and enough sleep at night. 

2. Day-time naps are encouraged if possible. 

3. Limit activities that require a lot of thinking or concentration. These activities can slow the 

brain's recovery. 

4. Limit physical activity, especially those activities where another injury or blow to the head may 

occur. 

5. Have your qualified health professional check your symptoms at different time to help guide 

recovery. 

Returning to Practice and Games 

1. Returning to practice and games is specific for each person. 

2. You should not participate, practice or compete if you have ANY symptoms. 

3. Make sure that you coach and trainers are aware of your current condition and any symptoms 

that you are still experiencing. 

4. You should complete a step-by-step exercise-based progression, under the direction of a 

qualified healthcare professional. 

Resources 

Centers for Disease Control and Prevention