Parent/Guardian Information

Emergency Information

DMO CHARITY BASKETBALL CAMP

Informed Consent and Participation Acknowledgment

As the parent or legal guardian of the participant named in this registration, I give permission for my child to participate in all activities associated with the DMO Charity Basketball Camp.

I understand that participation in basketball and related athletic activities involves inherent risks, including but not limited to falls, collisions, physical exertion, equipment-related injuries, and other unforeseen accidents that may result in injury, illness, disability, or, in rare circumstances, serious bodily harm.

I acknowledge that my child is voluntarily participating in camp activities and that I assume all risks associated with such participation. I certify that my child is physically able to participate and has no medical condition that would prevent safe involvement unless disclosed to DMO Charity prior to participation.

In consideration of my child’s participation in the DMO Charity Basketball Camp, I release, waive, and hold harmless DMO Charity, its directors, officers, employees, volunteers, coaches, sponsors, affiliates, partners, and facility providers from any and all claims, demands, causes of action, damages, losses, or liabilities arising from or related to my child’s participation in camp activities, except as otherwise required by law.

I understand that DMO Charity reserves the right to remove any participant whose behavior is disruptive, unsafe, or inconsistent with the camp’s standards and expectations.

By submitting this registration, I acknowledge that I have carefully read this agreement, understand its contents, and voluntarily agree to its terms on behalf of myself and my child.

DMO CHARITY BASKETBALL CAMP

Medical Authorization, Health Disclosure, and Liability Acknowledgment

As the parent or legal guardian of the participant registered for the DMO Charity Basketball Camp, I certify that my child is physically able to participate in camp activities and that all known medical conditions, allergies, medications, physical limitations, and special needs have been fully disclosed to DMO Charity prior to participation.

I understand and acknowledge that participation in basketball and athletic activities involves inherent risks, including but not limited to falls, collisions, sprains, strains, fractures, dehydration, illness, and other injuries that may occur despite reasonable supervision and safety precautions.

In the event of an injury or medical emergency, I authorize DMO Charity, its directors, staff, volunteers, coaches, and authorized representatives to provide basic first aid and seek emergency medical treatment for my child if I cannot be reached immediately. I understand that DMO Charity is not a medical provider and does not guarantee the availability of medical professionals on-site.

I further authorize emergency medical personnel, physicians, hospitals, and other healthcare providers to evaluate, treat, and provide necessary medical care to my child in the event of an emergency.

I understand and agree that I am solely responsible for all medical expenses, hospital charges, ambulance fees, physician fees, prescription costs, and any other healthcare-related expenses incurred as a result of my child’s participation in camp activities.

I acknowledge that DMO Charity, its officers, directors, employees, volunteers, sponsors, affiliates, and partners shall not be held liable for any injury, illness, medical condition, accident, loss, damage, or expense arising from participation in the camp, except where prohibited by applicable law.

I further agree to indemnify and hold harmless DMO Charity and its representatives from any claims, demands, actions, damages, costs, or liabilities resulting from my child’s participation in camp activities or from any undisclosed medical condition, allergy, injury, or health concern.

By checking the box below and submitting this registration, I acknowledge that:

• I have read and understand this Medical Authorization, Health Disclosure, and Liability Acknowledgment.
• I have disclosed all known medical conditions, allergies, medications, and special needs of my child.
• I authorize emergency first aid and medical treatment if necessary.
• I accept full responsibility for all medical expenses incurred on behalf of my child.
• I voluntarily assume the risks associated with participation in the DMO Charity Basketball Camp.

DMO CHARITY BASKETBALL CAMP

Photo, Video, and Media Release Agreement

As the parent or legal guardian of the participant(s) named on this registration form, I grant permission to DMO Charity, its staff, volunteers, sponsors, partners, and authorized representatives to photograph, videotape, record, and use the participant’s image, likeness, voice, name, and/or appearance during camp activities and related events.

I understand that these photographs, videos, and recordings may be used for purposes including, but not limited to:

• Marketing and promotional materials
• Social media platforms
• Websites and digital media
• News releases and press coverage
• Fundraising and sponsorship materials
• Educational and program-related publications
• Print and electronic communications

I acknowledge that these materials may be edited, reproduced, published, displayed, distributed, or otherwise used by DMO Charity without further notice or compensation.

I understand that participation in camp activities may result in photographs or video recordings being taken in group settings and public spaces. I waive any right to inspect or approve the final products in which the participant’s likeness appears.

I release and hold harmless DMO Charity, its officers, directors, employees, volunteers, partners, sponsors, and affiliates from any claims, demands, or liabilities arising from the use of such photographs, video recordings, audio recordings, or other media.

This authorization is granted without time limitation and remains in effect unless revoked in writing by the parent or legal guardian. Revocation will not apply to materials that have already been produced, published, or distributed.

By checking the box below and submitting this registration, I acknowledge that I have read, understood, and agree to the terms of this Photo, Video, and Media Release Agreement.

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.