Basketball Registration

BASKETBALL
PARENTAL CONSENT AND WAIVER OF LIABILITY
I consent to, and give permission for, my child to participate in the Youth Basketball Program. I have no knowledge of any physical impairment that would be affected by my child’s participation in the basketball program. I further agree to waive all liability of the A.G. Gaston Boys & Girls Club Basketball Program, its representatives, employees, Managers, team coaches, staff and any other participant, for any accident, injury, illness or other mishap which might befall the individual named on this registration while traveling to or from, or during their participation in the basketball program, whether or not such liability, claim, damage, loss or expense is caused in part by the negligence of any person, including any negligence by or on behalf of the Basketball Program, its agents and specifically including any defects in the condition of the property of the Basketball Program or the condition of its maintenance. I agree to abide by the rules and regulations as set forth by the Basketball Program for my child’s participation, and that each player will be responsible for himself, his insurance and his equipment. I acknowledge that I have freely and voluntarily entered into this Agreement and that I have read and understand this agreement in its entirety.

BY COMPLETING THE FORM BELOW AND CLICKING "SUBMIT REGISTRATION", YOU ARE AGREEING TO THE TERMS ABOVE.

Basketball Registration

Asthma
Allergies
Allergic to Bee Stings
Other
Inhaler
Medications
Allergic to Medications
Scorekeeper
Assistant Coach
Head Coach
Other
Yes
No
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