• NRP Basketball Activity Waiver

    Please complete this waiver form before participating in basketball activities. Read the waiver terms and provide all requested information.
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • NRP BASKETBALL WAIVER

    By my signature below, I acknowledge that I am aware of, appreciate the character of, and voluntarily assume the risks involved in participating in all activities associated with basketball.

    By my signature below, on behalf of myself, my heirs, next of kin, successors in interest, assigns,

    personal representatives, and agents, I hereby:

    1. Waive any claim or cause of action against and release from liability the NewRock Prep Sports Academy , its officers, employees,and agents for any liability for injuries to my person or property resulting from my use of the facility or participation in the activity listed above;

    2. Agree to indemnify and hold harmless NewRock Prep Sports Academy, Baldwind County Rec. Dept. and City of Milledgeville , its officers, employees, and agents for any claims, causes of action, or liability to any other personarising from my use of the facility or participation in the activity listed above;

    3. Consent to receive any medical treatment deemed advisable in the event of injury, accident or illness during these activities; and

    4. Acknowledge that a participant under 18 years of age signing below as a minor child, a signature is required by the parent or legal guardian of the minor child to participate.

    I HAVE READ THIS ASSUMPTION OF RISK, WAIVER OF LIABILITY AND RELEASE AGREEMENT. I CONSENT TO MEDICAL TREATMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE

    GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY

    WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY

    SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

     

  • Date (Participant Signature)*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date (Parent/Guardian Signature)*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: