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Peoria Phoenix Player Registration Sheet

PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION
I hereby waive, release and discharge any and all claims for damages for the personal injury, death, or property damage which I may have, or which hereafter accrue to me, as a result of participation in basketball practices and/or basketball competitions in all its forms. The release is intended to discharge in advance, the AAU team (Peoria Phoenix, it’s coaches and/or volunteers) from any and all liability arising out of or in any way connected with my participation in said activity, even
though that liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above. It is understood that the activity involves an element of risk and danger of accidents and knowing those risks, I assume those risks. It is further agreed that this waiver, release, and assumption of risk, is to be binding on my heirs and assigns. I agree to indemnify and to hold the Peoria Phoenix Basketball League and all persons and entities associated with the Peoria Phoenix Basketball Club free and harmless from any loss, liability, damage, cost or expense, in which they may incur as a result of my death, injury or property of damage that I may sustain while participating in the above activity.

I also give the AAU team (Peoria Phoenix, it’s coaches or volunteers) the right to copyright and/or publish, reproduce, or otherwise use my child’s name, voice, and likeness and/or photographs, and audiovisual recordings that include my child for instruction, advertising, program website, publications or brochures, or any other lawful purpose whatsoever. I hereby agree to relinquish all rights, title and interest I may have in the finished product and waive all rights to any compensation thereof.
 

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