Team California Youth Basketball

Subscribe to our Newsletter

Youth Club Team Payer Registration ages (8-14)

* First Name:

* Last Name:

* Gender:

Male

Female

* Birthdate:

* Grade:

* School:

* Parent/Guardian #1:

* Parent/Guardian 1 Mobile #:

* Email:

Parent/Guardian #2:

Parent/Guardian 2 Mobile #:

Email:

* Uniform Size:

WAIVER, INDEMNIFICATION, RELEASE OF LIABILITY
AGREEMENT AUTHORIZATION, PERMISSION TO USE NAME
AND LIKENESS FOR PUBLICITY AND DISPLAY OF IMAGES ON
THE TEAM CAL BASKETBALL WEBSITE AND OTHER MEDIA.

PLEASE READ CAREFULLY – THIS AGREEMENT AFFECTS IMPORTANT LEGAL RIGHT

This Waiver, Indemnification, Release of Liability Agreement Authorization,
Permission to Use Name and Likeness for Publicity will be effective until termination
as described in paragraph #8.

In consideration of being permitted to participate in any way, including travel to and from
related events and activities of the Team CAL Youth Basketball Organization, I, for myself,
my personal representatives, heirs, executors, next of kin, and assigns, do hereby:

1) Acknowledge that I am familiar with the sport of Basketball and understand the
rules governing the sport of Basketball and the importance of following these
rules.
2) Acknowledge and fully understand that I will be engaging in a contact sport that
might result in serious injury, including permanent disability or death, and severe
social and economic losses due to, not only my own actions, inaction or
negligence, but also to the action, inaction or negligence of others; the rules of
the sport of Basketball; or conditions of the premises or any equipment used.
Further, I acknowledge that there may be other risks not known to me or not
responsibly foreseeable at this time.
3) Knowing the risks involved in the sport of Basketball, I assume the risks and
accept personal responsibility for the damages following such injury, permanent
disability, or death.
4) Acknowledge that this waiver, indemnification and release of liability expressly
include transportation to and from, or in connection with any activity or event of
the Team CAL Youth Basketball Organization, in any vehicle, including
transportation to and from medical treatment.
Understand and agree that by submitting this waiver, indemnification and release of liability,
I am agreeing to release, indemnify and hold them harmless from and all liability, or
costs, including but not limited to attorney fees, associated with or arising from my
participation.
5) Understand and agree that if I am submitting this waiver, indemnification and
release of liability on behalf of and conjunction with my minor child that I will
be giving up the same rights for said minor as I would be giving up if I submitted
this document for my own participation on my own behalf. I further agree that as
a parent(s) or legal guardian(s) of a minor participant under 18 years of age, that
I will instruct the minor participant to the above warnings and conditions and
their ramifications, and that I consent to the minor’s participation.
6) Understand and agree that this agreement shall be governed by and construed in
accordance with the Laws of the State of California. All disputes and matters
whatsoever arising under, in connection with, or incident to this agreement shall
be litigated, if at all, in and before a court located in the State of California,
U.S.A. to the exclusion of any other State or Country.
7) Understand and agree that this agreement may be terminated only by:
a. Ceasing to participate in any and all activities of the Team CAL Youth
Basketball Organization
b. Providing written notice to the Team CAL Youth Basketball Organization; OR
c. Submitting and returning to the Team CAL Youth Basketball Organization a later
version of the waiver, indemnification and release of liability agreement.

Termination by written notice to the Team CAL Youth Basketball Organization will
not be effective until 30 days after I cease being a member of the Team CAL Youth
Basketball Organization or immediately if advised by the President or Board of
Directors.

I have read the above waiver, indemnification, and release of liability agreement, and
understand that I give up substantial rights by submitting it and knowing this,
voluntarily, I further agree that no oral representations, statements, or inducements,
apart from the above agreement have been made. I acknowledge that this agreement
is intended to be a broad and inclusive as is permitted by law and if any portion is held
invalid, it is agreed that the balance shall, notwithstanding, continue to have full force
and effect. I agree to participate knowing the risks and conditions involved and do so
entirely upon my own free will. My submission below shall be a declaration that I have
so read and understand this Waiver, Indemnification, and Release of Liability
Agreement

* indicates required fields

IMPORTANT: Online Payment with credit cards is not active for this form

OUR SERVICES

LOCAL SPORTS

ELITE

Youth Club Team Payer Registration ages (8-14)