Waiver of Liability-Grizzly Basketball Camp

I hereby authorize the instructors of the Grizzly Basketball Camp to act for me according to their best judgment in an emergency requiring medical attention and hereby waive and release the program, instructors, SMUSD, and the governing board of all liabilities for any illness or injuries incurred at or in transit to and from the site of the exercises, workouts, or contests.

In compliance with state law, I certify that there is in effect at this time insurance coverage for accidental death of at least $1,500.00 and insurance coverage for medical and hospital expenses resulting from bodily injury of at least $1,500.00 for my son or ward and that this coverage will remain in effect throughout the time he participates in this summer program.

Player Name: ______________

Signature of Parent or Guardian: _____________________

Date: _________