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32nd Annual Hoops 4 Peace Community Violence Intervention Summit - August 8, 2025 9AM-5PM 
3 ON 3 BASKETBALL REGISTRATION PACKET
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Email *
Team Name / Organization *
Team Coach / Team Captain *
Contact Phone Number *
Age Group *
Player 1 Full Name *
Player 1 - Enter School Grade *
Player 1 - Age *
Player 2 Full Name *
Player 2 - School Grade *
Player 2 - Age *
Player 3 Full Name *
Player 3 - School Grade *
Player 3 - Age *
Player 4 Full Name *
Player 4 - Enter School Grade *
Player 4 - Age *
Address *
City *
State *
Zip Code *
Parent/Guardian *
Emergency Contact Information *
T-Shirt Size Player  1 *
T-Shirt Size Player 2 *
T-Shirt Size Player 3 *
T-Shirt Size Player 4 *
Onsite Registration at

Seat Pleasant Activity Center 
5720 Addison Road
Seat Pleasant, Maryland 20743

Mon-Fri 9:00am-9:00pm
Sat. 10:00am-3:00pm

Registration is NOT COMPLETE.  Please complete with E-Signature AND submit.
 VOLUNTARY WAIVER AND RELEASE AGREEMENT
This Voluntary Waiver and Release Agreement (“Agreement”) is hereby executed by the undersigned, or if the undersigned is under the age of 18 years, then the undersigned’s parent or legal guardian (together with any heir, successor, representative or assign, collectively as “Participant”) in favor and for the sole and exclusive benefit of the Organizers (as defined herein). In connection with Participant’s involvement in a contest, promotional activity or in any other event which may take place at Bowie State University Buildings/Grounds/property by Participant including, without limitation, the 31st Annual Hoops for Peace Community Violence Intervention Youth Summit & 3 on 3 Basketball Tournament (the “Event”), Participant hereby certifies, warrants, represents, agrees, and covenants to Community Kinship Coalition Inc.

Properties, Seat Pleasant Activity Center/Grounds/property and any of the respective Event sponsors or promoters, including, without limitation, the Community Kinship Coalition Inc. and all charities benefiting from the Event (individually and collectively, together with each of their respective affiliates, officers, employees, partners, shareholders, members, board members, sponsors, volunteers, tenants, contractors, agents, successors and assigns, the “Organizers”), that he/she is:
 
   (1)     FREE OF ANY MENTAL OR PHYSICAL CONDITION, AILMENT OR INJURY (MEDICAL OR OTHERWISE) WHICH WOULD, IN AND OF ITSELF OR IN CONJUNCTION WITH ANY OTHER CIRCUMSTANCE, INCLUDING BUT NOT LIMITED TO THOSE ACTIVITIES ASSOCIATED WITH THE EVENT, (i) IMPAIR, PREVENT OR PROHIBIT PARTICIPANT FROM ENGAGING IN SUCH EVENT ACTIVITIES OR (ii) BE AFFECTED, AGGRAVATED OR WORSEN IN ANY WAY AS A RESULT, DIRECTLY OR INDIRECTLY, OF PARTICIPANT’S INVOLVEMENT IN SUCH EVENT;
   (2)     OF   SOUND   MIND   AND   BODY   AND   NOT   UNDER   THE   INFLUENCE   OF   ALCOHOL   OR   ANY   ILLICIT   OR   PRESCRIPTION   DRUG   OR MEDICATION WHICH MAY IN ANY WAY IMPAIR PARTICIPANT’S ABILITY TO ENTER INTO THIS AGREEMENT, FULLY UNDERSTAND THE RESPECTIVE INTENT AND MEANING OF ALL OF THE TERMS AND PROVISIONS HEREOF AND TO PARTICIPATE IN THE EVENT;
   (3)     ENTERING INTO THIS WAIVER AND RELEASE AGREEMENT VOLUNTARILY, BY PARTICIPANT’S OWN FREE WILL, ACT AND DEED, WITHOUT ANY UNDUE INFLUENCE FROM THE ORGANIZERS OR ANY OTHER THIRD PARTY.  PARTICIPANT AGREES THAT HE/SHE DERIVES A MATERIAL BENEFIT FROM THE EVENT AND/OR PARTICIPANT’S INVOLVEMENT THEREIN.  BY EXECUTION OF THIS AGREEMENT, PARTICIPANT AGREES AND ACKNOWLEDGES THAT A STRENUOUS ACTIVITY, SUCH AS BASKETBALL, IS POTENTIALLY   HAZARDOUS,   AND   PARTICIPANT   HEREBY   ASSUMES   ALL   RISKS   ASSOCIATED   WITH   PLAYING   IN   THE   EVENT,   INCLUDING, WITHOUT   LIMITATION,   FALLS,   CONTACT   WITH   OTHER   PARTICIPANTS,   THE   EFFECTS   OF   WEATHER   AND   THE   CONDITION   OF   PLAYING  SURFACES.  FURTHERMORE, PARTICIPANT EXPRESSLY AND UNCONDITIONALLY ASSUMES ALL RISKS AND DANGERS KNOWN OR UNKNOWN, FORESEEN   OR   UNFORESEEN,   AND   RELATING   OR   INCIDENTAL   TO   PARTICIPANT’S   INVOLVEMENT   IN   THE   EVENT   AND   ANY   ACTIVITY ASSOCIATED THEREWITH.         PARTICIPANT HEREBY RELEASES, FOREVER DISCHARGES AND HOLDS HARMLESS THE ORGANIZERS FROM AND  AGAINST ANY AND ALL CLAIMS, DAMAGES, LIABILITIES, COSTS AND EXPENSES, INCLUDING, BUT NOT LIMITED TO, DEATH, PERSONAL  INJURY OR PROPERTY DAMAGE OF ANY KIND OR NATURE, ARISING OUT OF OR RELATING TO PARTICIPANT’S INVOLVEMENT IN THE EVENT  AND ALL ACTIVITIES ASSOCIATED THEREWITH.

Each Participant understands that by signing this Agreement, each Participant covenants and agrees that such Participant, as well as such  Participant's heirs, executors, administrators, successors and assigns, will never institute any suit or action at law, or otherwise, against any of  the Organizers, or in any way aid in the institution or prosecution of any claim, demand, action or cause of action for damages, costs, loss of services, expenses or compensation for or on account of any damage, loss or injury either to Participant's person or property, or both, which may result from the Participant's participation in the Event or any other Event associated therewith.  Each Participant agrees to defend and hold the Organizers harmless from any loss or damages, including attorneys' fees and costs, sustained by Organizers, or any one or more of them, as a result of any Participant's recission of this Agreement or breach of its covenants or agreements contained in this paragraph.

Participant further agrees that the Organizers shall have the right to record, broadcast and otherwise exploit in any and all media throughout the  world Participant’s activity/performance in the Event and to use Participant’s name, likeness, voice and biographical information in connection  therewith. If any provision of this Agreement shall for any reason be held invalid or unenforceable, such invalidity or unenforceability shall not affect any other provision hereof and this Agreement shall be construed as if such invalid or unenforceable provision were omitted.
THE   WAIVER   AND   RELEASE   GRANTED   BY   PARTICIPANT   HEREUNDER   IS   LEGALLY   BINDING   AND   SHALL   BE   CONSIDERED   IRREVOCABLE.  PARTICIPANT AGREES THAT THE ORGANIZERS MAY RELY UPON THIS AGREEMENT TO THE FULLEST EXTENT PERMISSIBLE AT LAW OR IN EQUITY.

MEDIA AND PUBLICATION AUTHORIZATION
MEDIA AND PUBLICATION AUTHORIZATION FORM
I give Community Kinship Coalition, Inc. (CKC) authorization to use and disclose my name and my children’s name(s) and pictures for media and publication purposes (newsletter, newspaper, web site, Internet, pamphlet, etc.).  This information will not be utilized in any way to hurt, harm, manipulate or slander.  At no time will any telephone number, street or mailing address be utilized in these publications; however the name of the neighborhood may be utilized.  By signing below I agree to the above statement.  I UNDERSTAND THAT BELOW MENTIONED (TYPED NAME) THIS IS COLLECTED AS AN E-SIGNATURE
E-SIGNATURE OF PARENT/GUARDIAN *
E-SIGNATURE OF PARENT/GUARDIAN (2)
A copy of your responses will be emailed to the address you provided.
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