As parent/legal guardian of the child named herein, I hereby represent that the child has been examined by pediatrician and is physically fit to participate in Southward Elite Basketball Youth League/Southward Elite 3v3 League & Camps. I understand there are inherent risks in participating in this athletic program. I hereby accept responsibility for and agree to pay any and all costs of medical treatment resulting from any injury suffered by my child as a result of his/her participation in Southward Elite Basketball Youth League/camps. I further agree to indemnify and hold harmless Southward Elite Basketball Youth League/Southward Elite 3v3 League & camps, its agents, servants, employees and/or representatives from any and all liability, damage, cost or expensive arising out of my child's participation, of every kind and nature, in Southward Elite Basketball Youth/ 3v3 League events & camps. In the event that I cannot be reached in an emergency, I hereby give permission for care to be administered by a qualified SEB staff member, EMT, physician/staff of a hospital, or any other qualified individual to provide any medical treatment deemed necessary for my child. SEB may use photographs and/or videos of my child while participating in Southward Elite Basketball Youth/3v3 League & camps sponsored activities.  Parent Print Name Below if you agree to these terms: