Club Team Interest Form
Enter parent contact details, player name and age, and review/sign the waiver for future evaluation.
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Player Full Name
*
First Name
Last Name
Player Grade
*
Please Select
3rd
4th
5th
6th
7th
8th
Waiver and Release of Liability Waiver & Liability Release By registering for and participating in Silverstrom Academy programs, camps, clinics, practices, games, tournaments, or any related activities, I acknowledge that participation in basketball and athletic activities involves inherent risks, including but not limited to falls, collisions, sprains, fractures, serious injury, permanent disability, or death. I voluntarily assume all risks associated with participation and certify that the participant is physically fit and able to participate in these activities. On behalf of myself and/or the participant, I hereby release, waive, and discharge Silverstrom Academy, its owners, coaches, employees, volunteers, independent contractors, affiliates, facility owners, and sponsors from any and all claims, demands, causes of action, damages, losses, or liabilities arising out of or related to participation in any Silverstrom Academy activity, including those resulting from ordinary negligence, to the fullest extent permitted by California law. I understand that Silverstrom Academy does not provide medical insurance for participants. In the event of an emergency, I authorize Silverstrom Academy staff to obtain emergency medical treatment for the participant if I cannot be reached. I understand that I am solely responsible for any medical expenses incurred. I agree to follow all academy rules, safety procedures, and coach instructions. Failure to do so may result in dismissal from the program without refund. By signing below, I acknowledge that I have carefully read this Waiver & Liability Release, fully understand its contents, and voluntarily agree to its terms.
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Location
Corona del Mar High School
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