Registration is $55/participant. Additional children of the immediate family, who are also attending the Little Hoopsters Camp, will receive a 10% discount.
Family Medical Insurance:
ACKNOWLEDGEMENT OF WARNING AND ASSUMPTION OF PERSONAL RESPONSIBILITY
** Each registrant’s parent or guardian must agree to this statement.
In consideration of the athlete, who is listed on this registration form, being allowed to participate in any ACTSports related events and activities, undersigned acknowledges, appreciates, and agrees that: The risk of injury to my child from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 1) For myself, spouse and child, I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my child's participation; and, 2) I willingly agree to comply with the program's stated and customary terms and conditions for participation. 3) I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, hereby release and hold harmless ACTSports, its directors, officers, officials, agents, employees, volunteers, other participants, Victory Worship Center and World Outreach, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("Releasees"), with respect to any and all injury, disability, death, or loss or damage to person or property incident to my child's involvement or participation in these programs, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law. 4) I realize that there will not always be trained medical personnel on-site at the program’s practices, games, and activities/events.
FIRST AID AND EMERGENCY MEDICAL TREATMENT: I/we hereby grant consent to any and all health care providers designated by ACTSports to provide my child (registered ACTSports athlete) any necessary medical care as a result of any injury/illness. This consent includes First Aid, CPR, and transportation to/from health care providers. In case of emergency, and if emergency transportation is needed, I agree to pay all costs of medical care and transportation.
RELEASE TO USE IMAGE AND LIKENESS: On occasion, ACTSports or its representatives take photographs or make audio or videotape recordings of children and/or adults involved in activities. Such photographs or video records may be used by staff and participants to remember the activities and participants. Local news organizations may hear of our activities or events, and our organization may invite or allow them to photograph or record our events for news reporting on special interest features. I consent to the use of any such audio or visual record of the child named above to be used, distributed, or displayed as agents of the organization see fit. This consent includes but is not limited to: photographs, videotape, and audio recordings. Furthermore, I give permission for the child to be interviewed by the news media, or for such photographs and other audio or visual records to be used by the news media. In addition, such photographs and audio/visual recordings may be used in publications or advertising materials to let others know about our activities and to promote the ministry of ACTSports.