2021-2022 School Year

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Select all that apply

I GIVE MY SON/DAUGHTER PERMISSION TO PARTICIPATE IN ALL ACTIVITIES RELATED TO HIS/HER PARTICIPATION IN THE GRYPHON BASKETBALL PROGRAM AND ITS ACTIVITIES, TO INCLUDE BUT NOT RESTRICTED TO, PRACTICES, GAMES, CLINICS, CAMPS, TRAVEL TO AND FROM EVENTS AND ACTIVITIES BY PUBLIC AND/OR PRIVATE TRANSPORTATION AND PRIVATE TRAINING AS IT IS SCHEDULED BY THE GRYPHON BASKETBALL PROGRAM. I ACKNOWLEDGE AND FULLY UNDERSTAND THE INHERENT RISKS RELATED TO PARTICIPATION IN TEAM SPORTS AND IN GRYPHON BASKETBALL PROGRAM, AND MY AGREEMENT BELOW INDICATES MY AGREEMENT TO ASSUME ALL THOSE RISKS AND ALL LIABILITY AS IT RELATES TO ANY AND ALL GRYPHON BASKETBALL ACTIVITIES.GRYPHON BASKETBALL’S INSURANCE POLICY IS WRITTEN ON A FULL EXCESS BASIS.  THIS MEANS THAT A CLAIM MUST BE SUBMITTED TO ANY OTHER APPLICABLE INSURANCE OR HEALTH CARE PLAN FIRST (SUCH AS THE INSURED’S OR PARENT’S OWN PERSONAL OR GROUP MEDICAL PLAN), BEFORE BEING SENT TO PHILADELPHIA INSURANCE COMPANY FOR PAYMENT.  IF, HOWEVER, THE INSURED HAS NO OTHER APPLICABLE INSURANCE OF HEALTH CARE PLAN, THEN THIS POLICY WILL PAY CLAIMS ON A PRIMARY BASIS.  ALL ACCIDENT CLAIMS ARE EVALUATED, ADJUSTED AND PAID DIRECTLY BY PHILADELPHIA INSURANCE COMPANY THUS ENSURING THAT YOU GET THE PERSONAL AND PROFESSIONAL ATTENTION YOUR ORGANIZATION DESERVES. I FURTHER AGREE TO HOLD HARMLESS FROM ALL LEGAL LIABILITY, ALL PRINCIPAL OWNERS AND STAFF MEMBERS OF GRYPHON BASKETBALL AS WELL AS ALL PRINCIPAL OWNERS AND STAFF MEMBERS OF ALL FACILITIES AND LEAGUES AND TOURNAMENTS THEY WILL PARTICIPATE IN AS A MEMBER OF THE GRYPHONS.  THIS INCLUDES BUT IS NOT EXCLUSIVE TO THE FACILITIES THEY PRACTICE IN.

I acknowledge the contagious nature of the COVID-19 virus, and respect that Gryphon Basketball adheres to the CDC recommendations of practicing social distancing and wearing face coverings. I further acknowledge that Gryphon Basketball has put in place preventative measures to reduce the spread of the COVID-19 virus, to the best of their abilities. I further acknowledge that no guarantee exists regarding whether or not I may contract COVID-19. I understand that the risk of becoming exposed to and/or infected by the COVID-19 virus may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, players and parents. I acknowledge that I increase my risk of exposure to COVID-19 by participating in services rendered. I acknowledge that I must comply with all set procedures to reduce the spread while in attendance. I attest that I will notify Gryphon Basketball if: * My child is experiencing any symptom of illness such as cough, shortness of breath, difficulty breathing, fever, chills, muscle pain, headache, sore throat, nausea, vomiting, diarrhea, or new loss of taste or smell.* I have traveled internationally within the last 14 days.* I have traveled to a state outside of NJ, NY, CT, PA or DE. * I do believe I have been exposed to someone with a suspected and/or confirmed case of COVID-19.* I have been diagnosed with COVID-19 by state or local public health authorities.* I am not following all CDC recommended guidelines as much as possible, including limiting any purposeful exposure to COVID-19. I hereby release and agree to hold Gryphon Basketball harmless from any causes of action, claims, demands, damages, costs, expenses and compensation for damage to myself that may be caused by any act, or failure to act, or that may otherwise arise in any way with any services received. I understand that this release discharges the aforementioned from any liability with respect to bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received. This liability waiver and release extends to all owners, partners, and employees.

I AM OK WITH GRYPHON BASKETBALL USING MY SON'S/DAUGHTER'S FIRST NAME AND PICTURE ON SOCIAL MEDIA PLATFORMS SUCH AS INSTAGRAM (GRYPHONBASKETBALL201).