REGISTRATION AND WAIVER FORM

ATHLETE INFORMATION
ATHLETE NAME
ATHLETE GRADE
PARENT / GUARDIAN CONTACT
PARENT / GUARDIAN NAME
PARENT / GUARDIAN PHONE
Format: (000) 000-0000.
PARENT / GUARDIAN EMAIL
example@example.com
HEALTH & PARTICIPATION
Is there anything I should know before training? (Injuries, allergies, medications, medical conditions, or restrictions)
Is your athlete medically cleared for basketball participation?
TRAINING PLAN
MEMBERSHIP / TRAINING OPTION
PREFERRED TRAINING DAY(S)
PREFERRED PAYMENT METHOD
Policies, Media Release & Liability Waiver

Please review the following information. Your signature confirms your acknowledgment of these policies and your agreement to the waiver below.
TRAINING POLICIES

1. Payment is due before training unless otherwise arranged.
2. Please notify me as soon as possible if your athlete cannot attend.
3. Athletes should arrive on time and ready to train.
4. Parents are responsible for prompt pick-up.
5. Respect for coaches, athletes, and equipment is expected.
6. PBP may adjust groups for safety and athlete development.
PHOTO & MEDIA PREFERENCE
Prime Basketball Performance may photograph or record training sessions for promotional and educational purposes.
Liability Waiver & Parent Consent

IMPORTANT: THIS AGREEMENT CONTAINS A RELEASE OF LIABILITY.
PARENT / GUARDIAN AUTHORIZATION
I am the parent or legal guardian of the athlete identified in this registration form and have authority to authorize the athlete's participation in Prime Basketball Performance activities, including basketball skill development, strength and conditioning, speed and agility training, drills, competitions, and live play.
ASSUMPTION OF RISK
I understand athletic participation involves inherent risks, including falls, collisions, overexertion, sprains, strains, fractures, concussions, illness, permanent disability, and, in rare cases, death. I voluntarily allow the athlete to participate and knowingly assume the ordinary risks of these activities.
MEDICAL FITNESS & EMERGENCY CARE
I certify that the athlete is able to participate unless restrictions have been disclosed in this form. I will notify PBP of changes in injury, limitation, allergy, medication, or medical status. If an emergency occurs and I cannot be reached, I authorize reasonable emergency medical evaluation and treatment. I am responsible for related medical expenses.
RELEASE OF LIABILITY
To the fullest extent permitted by law, I release and hold harmless Prime Basketball Performance; Gregory Giageos; assistants, volunteers, contractors; facility owners; and affiliated organizations from claims for injury, illness, death, or property damage arising from the athlete's participation, including claims arising from the ordinary negligence of the released parties. This release does not apply to gross negligence or willful misconduct.
ACKNOWLEDGEMENT
By signing below, I confirm that I have reviewed the policies and indicated my photo and media preference, read and understand this waiver, and voluntarily authorize the athlete's participation. This agreement remains effective for future Prime Basketball Performance sessions unless revoked in writing, subject to applicable law.
PARENT / GUARDIAN SIGNATURE
PARENT / GUARDIAN SIGNATURE
DATE

MonthDayYear
Date
Should be Empty:

ATHLETE INFORMATION

PARENT / GUARDIAN CONTACT

HEALTH & PARTICIPATION

TRAINING PLAN

Policies, Media Release & Liability Waiver

PHOTO & MEDIA PREFERENCE

Liability Waiver & Parent Consent

PARENT / GUARDIAN AUTHORIZATION

ASSUMPTION OF RISK

MEDICAL FITNESS & EMERGENCY CARE

RELEASE OF LIABILITY

ACKNOWLEDGEMENT

PARENT / GUARDIAN SIGNATURE