Winter League Player Registration Ages 3-12

PLAYER INFORMATION

PARENT/GUARDIAN #1
PARENT/GUARDIAN #2


MEDICAL/EMERGENCY CONTACT INFORMATION


WAIVER INFORMATION
Release of Liability

Please read this information carefully and be aware that in registering yourself or your minor child (children) for participation in the program(s), you will be waiving and releasing all claims for injuries you or your child (children) might sustain arising out of the program(s).

I recognize and acknowledge that there are certain risks of physical injury to participants in the program(s) and I agree to assume the full risk of any such injuries, damages, or loss regardless of severity which I or my child (children) may sustain as a result of participating in any of the program(s). I hereby fully release and discharge Madison Hoopz, and its officers, agents, servants and employees from any and all claims resulting from injuries, damages and losses sustained by me or my child (children), and arising out, connected with, or in any way associated with activities of any of the programs.


Photo Release
I do hereby authorize Madison Hoopz to use photos, videos, and recordings of my child taken during the basketball league for the purpose of publicity for Madison Hoopz website, brochures, or other means of publicity.

 

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