PARENTAL BUS PERMISSION & SPORTS WAIVER FORM

 

BUS PERMISSION

I/We the parent(s)/guardian(s) of ______________________________________________

give my/our permission to the Facilitators of Lance Williams' Big Man Basketball Camp

for above noted child to ride the assigned bus to the Camp site and back.  I am aware that

the bus will depart from 95th and Ashland Ave at the McDonald's parking lot, (1) one hour

before the Camp start time each day and return (1) one hour after Camp is over for the day.

 

SPORTS WAIVER

By signing this Bus Permission & Sports Waiver Form I am acknowledging that participating in the above noted Basketball Sports Camp involves certain risks and that injuries, death, property damage or other harm could occur to me my child or others. I accept and voluntarily incur all risks of any injuries, damages, or harm which arise during or result from my or my child's participation in the Activity. These risks include, but are not limited to, the possibility of accident or illness while traveling to and from events as well as any injury arising out of participation in the physical activity involved with this Activity. The Lance Williams' Big Man Basketball Camp strongly recommends that each participant have had an annual physical examination and carry personal health and accident insurance.

I waive all claims against Lance Williams, Coach Loren Jackson and Walker Athletic Center, and/or its or their departments, affiliates, employees, officers, agents, or insurers (Released Parties) for any injuries, damages, losses or claims, whether known or unknown, which arise during or result from my or my child's participation in the Activity. I release and forever discharge the Released Parties from all such claims.

I agree to indemnify and hold the Released Parties harmless from all losses, liabilities, damages, costs or expenses (including but not limited to reasonable attorneys’ fees and other litigation costs and expenses) incurred by any of the Released Parties as a result of any claims or suits that I (or anyone claiming by, under or through me) may bring against any of the Released Parties recover any losses, liabilities, costs, damages, or expenses which arise during or result from my or my child's participation in the Activity.

I have carefully read and reviewed this Waiver, Release And Hold Harmless Agreement. I understand it fully and I execute it voluntarily.

EXECUTED this ____________day of ____________, 20_____



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Parent/Guardian - Print Name & Sign - (If camp member is under 18)

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Parent/Guardian - Print Name & Sign - (If camp member is under 18)                  

____________________________________________        ________/________/________
Signature of Camp Member                                                               Date Of Birth

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Home Address, City, State & Zip Code

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Phone Number

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Parent's Email Address(s)

 

 

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