Team Texas Explosion 6th Annual Holiday Hoops Camp 2024

Athlete's Name*

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Date of Birth*

Date

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Phone Number*

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Parent's Name*

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Does the athlete have any allergies, chronic illness, or medical conditions that would limit high level activity?*

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Is the athlete prescribed an inhaler? If yes, please explain any instructions.*

Medical Release & Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to TexLou Sports, Team Texas Explosion, and GAMESPEED its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by TexLou Sports, Team Texas Explosion, and GAMESPEED during selected camps/trainings/leagues. In exchange for the acceptance of said child’s candidacy by TexLou Sports, Team Texas Explosion, and GAMESPEED, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve, and hold harmless TexLou Sports, Team Texas Explosion, GAMESPEED and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against TexLou Sports, Team Texas Explosion, and GAMESPEED including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

COVID 19 Acknowledgement

I acknowledge the risk of exposure to COVID 19 of this and any associated public activity. I agree to abide by league establishment and CDC standard practices (masking, social distancing, and hard washing/sanitizing).

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

I have read and agree to the above conditions*

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Signature*

Team Texas Explosion 6th Annual Holiday Hoops Camp 2024$165.00

Who: Boys & Girls Ages: 7 years - 15 years DATE & TIME: Sat. December 14th (11am-4pm) Sun. December 15th (12Pm-4pm) Where: Ridge Point High School 500 Waters Lake Blvd. Missouri City, TX 77459 dribbling shooting basketball iq team concepts end of camp games *Camp T-Shirt *lunch provided: Saturday only! *Concession available throughout camp scrimmage games: Saturday only!

Total $0.00

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After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at tsingleton@texlousports.org or texlousports.org or 469.222.8043