BBallDream Academy - Basketball Waiver and Release Form

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Name of Participant: ____________________________

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Date of Birth: ____________________________

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Address: ______________________________________________

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City: ____________________________

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State: ____________________________

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Zip Code: ____________________________

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Emergency Contact Name: _______________________________________

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Emergency Contact Phone Number: ______________________________

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Insurance Provider:____________________________________________

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Insurance Policy Number:___________________________________

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Assumption of Risk and Liability Waiver

 

I, the undersigned, acknowledge and agree to the following:

 

1. Risk of Participation: I understand that participation in basketball training and events at BBallDream Academy involves physical activity, which could result in injury. I assume all risks associated with participation, including but not limited to, physical injury, damage to property, and emotional distress.

 

2. Release of Liability: I, on behalf of myself and my heirs, successors, and assigns, hereby release and discharge BBallDream Academy, its directors, officers, employees, coaches, agents, and representatives from any and all liability, claims, demands, causes of action, or lawsuits arising out of or in connection with my participation in activities at BBallDream Academy, whether arising from negligence or otherwise.

 

3. Medical Emergency: In the event of an emergency or medical condition requiring attention, I authorize BBallDream Academy to seek emergency medical treatment for the participant. I acknowledge that I am responsible for all medical expenses incurred as a result of such treatment.

 

4. Insurance: I understand that BBallDream Academy does not provide medical insurance for participants and that I am solely responsible for providing adequate medical insurance coverage.

 

5. Photo/Video Release: I consent to the use of photographs and videos taken during events, training sessions, and other academy activities for promotional purposes on the BBallDream Academy website, social media pages, or other marketing materials.

 

6. Code of Conduct: I agree to abide by all rules, guidelines, and codes of conduct set forth by BBallDream Academy. I acknowledge that failure to comply may result in my removal from the program or event.

 

Acknowledgment of Understanding and Agreement

 

By signing below, I confirm that I have read and fully understand the terms of this waiver. I understand that my participation in BBallDream Academy activities is voluntary, and I am voluntarily assuming all risks involved. I also agree to release BBallDream Academy from any liability as specified above.

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Signature of Parent/Legal Guardian : _________________________________________

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Date: ____________________________

 

Emergency Contact Information (Add On)

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Name: ___________________________________________________

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Phone Number: ____________________________________________

 

If you’d like more specific terms or additions (e.g., consent for transportation, more detailed medical questions), just let me know!