Please Read and Acknowledge the Participation Waiver Below

WAIVER

I,__________(1)______________________ the parent/guardian of a registrant, a minor, hereby give

permission for _____________(2)________________ to participate in South Side Basketball Club activities. I recognize the possibility of physical injury to occur while participating in the South Side Basketball Club events. I do hereby assume full responsibility for any and all damages, injuries, or losses that my registrant may sustain or incur, if any, while attending, engaging, practicing, participating or witnessing activity and/or certain event(s) occurring in or about the premises or at any offsite location. I hereby assume full risk, waive all claims and release and hold South Side Basketball Club, individually or otherwise, harmless for any and all liability, claims, suits, damages, expenses, fees, actions, or rights of action or judgments as a result of injury.

Signature:__________________(3)_______________________________ Date:____(4)__________________