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B. Scott's Little Baller Fall Academy Grade K-2
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B. Scott's Little Baller Fall Academy
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Player First Name *
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Player Grade *
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Health and Media Release Waiver
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DISCLAIMER: B. Scott Basketball Academy, LLC its coaches, employees, representatives, agents, vendors, and independent contractors, shall not be responsible for any injury to any person or loss of any property which occurs as a result of participation in any basketball tryouts, camps, clinics, practices, tournaments or other programs, run, sponsored or supported by B. Scott Basketball Academy, LLC.  Athletic Activities by their very nature involve the risk of personal injury and serious hard including death as well as potential exposure to and illness from infectious and/or communicable diseases, including but not limited to COVID-19, MRSA, influenza, and other infectious and/or communicable diseases, and other risks that are not known or not reasonable foreseeable. The undersigned, on my own behalf and on behalf of my minor children or wards, hereby releases and holds B. Scott Basketball Academy, LLC harmless for any or all claims for personal injury, wrongful death or property loss or damage arising out of, in connection with, participation in B. Scott Basketball Academy, LLC activities, its equipment and facilities and any activities incidental thereto, wherever, whenever, or however the same may occur.  I hereby voluntarily waive any and all claims that may be made by me, my family, estate, heirs, or assigns. I am aware of the risks to persons and property posed by engagement in the B. Scott Basketball Academy, LLC activities.  I am voluntarily participating with knowledge of the risks involved in the B. Scott Basketball Academy, LLC activities and I hereby agree to accept any and all inherent risks of personal injury, death or property damage or loss.  I understand that this waiver is intended to be as broad and as inclusive as permitted by the laws of the State of Ohio, and agree that if any portion is held invalid, the remainder of the waiver and release will continue in full force and affect.  I affirm that I am of legal age and freely sign this agreement on my behalf and on the behalf of my minor children or wards. (Media Release) I hereby grant permission to B. Scott Basketball Academy, LLC to use above named player photo or video, likeness for the purpose of promotion by B. Scott Basketball Academy, LLC for all forms, media and manners, for the following, social media, website, flyers and brochures. I give unrestricted permission for images, videos, and recordings of the player to be used in print, video, digital and internet media. I agree that these images may be used for a variety of purposes and that these images may be used without further notifying me. I further acknowledge that I will not be compensated for these uses and B. Scott Basketball Academy, LLC owns all rights to the images, videos, and recordings. I have read this certification, acknowledgement, and release, I have had the opportunity to consider its terms, and understand it. I execute it voluntarily and with knowledge of its significance.
Player 2 First Name
Player 2 Last Name
Player 2 Grade
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Which session are you signing up for?
Health and Media Release Waiver
DISCLAIMER: B. Scott Basketball Academy, LLC its coaches, employees, representatives, agents, vendors, and independent contractors, shall not be responsible for any injury to any person or loss of any property which occurs as a result of participation in any basketball tryouts, camps, clinics, practices, tournaments or other programs, run, sponsored or supported by B. Scott Basketball Academy, LLC.  Athletic Activities by their very nature involve the risk of personal injury and serious hard including death as well as potential exposure to and illness from infectious and/or communicable diseases, including but not limited to COVID-19, MRSA, influenza, and other infectious and/or communicable diseases, and other risks that are not known or not reasonable foreseeable. The undersigned, on my own behalf and on behalf of my minor children or wards, hereby releases and holds B. Scott Basketball Academy, LLC harmless for any or all claims for personal injury, wrongful death or property loss or damage arising out of, in connection with, participation in B. Scott Basketball Academy, LLC activities, its equipment and facilities and any activities incidental thereto, wherever, whenever, or however the same may occur.  I hereby voluntarily waive any and all claims that may be made by me, my family, estate, heirs, or assigns. I am aware of the risks to persons and property posed by engagement in the B. Scott Basketball Academy, LLC activities.  I am voluntarily participating with knowledge of the risks involved in the B. Scott Basketball Academy, LLC activities and I hereby agree to accept any and all inherent risks of personal injury, death or property damage or loss.  I understand that this waiver is intended to be as broad and as inclusive as permitted by the laws of the State of Ohio, and agree that if any portion is held invalid, the remainder of the waiver and release will continue in full force and affect.  I affirm that I am of legal age and freely sign this agreement on my behalf and on the behalf of my minor children or wards. (Media Release) I hereby grant permission to B. Scott Basketball Academy, LLC to use above named player photo or video, likeness for the purpose of promotion by B. Scott Basketball Academy, LLC for all forms, media and manners, for the following, social media, website, flyers and brochures. I give unrestricted permission for images, videos, and recordings of the player to be used in print, video, digital and internet media. I agree that these images may be used for a variety of purposes and that these images may be used without further notifying me. I further acknowledge that I will not be compensated for these uses and B. Scott Basketball Academy, LLC owns all rights to the images, videos, and recordings. I have read this certification, acknowledgement, and release, I have had the opportunity to consider its terms, and understand it. I execute it voluntarily and with knowledge of its significance.
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