Basketball Program Waiver Release
Parents/Guardians please take a moment to review and complete the basketball waiver form. We are moving some practices to a different gym and a waiver form for each player is required.
Player Full Name
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Player DOB
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Year
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Parent/Guardian Full Name
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Parent/Guardian Phone Number
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Can we use photos of your player from future/past events and on social media platforms?
Yes
No
Does the player have Health Insurance?
Yes
No
Please submit a copy of the players Health Insurance Card - Please select a option for submission below
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You can email to gahornets019@gmail.com OR
You may bring a physical copy to next practice
IMPORTANT INFORMATION Truth Athletic Club is committed to conducting its programs and activities in a safe manner and holds the safety of participants in high regard. TAC continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants’ safety. However, participants and parents/guardians of minors registering for this activity must recognize that there is an inherent risk of injury when choosing to participate in recreational programs/activities. You are solely responsible for determining if you or your minor child/ward is physically fit and/or adequately skilled for the activities contemplated by this agreement. It is always advisable, especially if the participant is pregnant, disabled in any way or recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity.
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I agree
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WARNING OF RISK Basketball is intended to challenge and engage the physical, mental and emotional resources of each participant. Despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury. All hazards and dangers cannot be foreseen. Certain risks include, but are not limited to, collisions between players and stationary objects, inability to stop one’s momentum and encountering off court dangers/hazards, unnecessary roughness (elbowing, hip checks, undercutting other players in the air, tripping and shoving), slip and falls, attempting a maneuver beyond the player’s skill level (i.e. attempting a dunk), poor officiating, improper personal protective equipment, slippery floors, inadequate or unsafe playing conditions, failure in supervision, unsportsmanlike conduct, dangerous/defective court conditions, and all other circumstances inherent to sport of basketball. In this regard, it is impossible for TAC to guarantee absolute safety.
I agree
I disagree
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK Please read this form carefully and be aware that in signing up and participating in this activity, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations, when provided). I recognize and acknowledge that there are certain risks of physical injury to participants in this activity, and I voluntarily agree to assume the full risk of all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in this activity against the TAC, including its officials, agents, gym facilities, volunteers and employees.
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I agree
I disagree
Full Name of Person Completing Form
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Today's Date
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Submit
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