John Ulrich Basketball Winter Basketball Training February 15-March 30, 2021
Immanuel Lutheran School
200 N. Plum Grove Rd
Palatine, IL 60067

Summary of important rules/guidelines we are implementing and would like to highlight specifically:

1. Campers must wait in their car and go through wellness screening before being admitted to camp.

2. We cannot allow anyone into camp that has displayed any symptoms of COVID-19 in the last 72 hours. If your child has displayed any symptoms of COVID-19, please do not bring them to camp. Before they may come to camp, they must either: A. "be feverless and feeling well (without fever-reducing medication) for 72 hours"; B. "remain isolated at home for a minimum of 10 days after symptom onset"; or C. "confirmed to not have COVID-19 via 2 negative COVID-19 tests in a row, with testing done at least 24 hours apart."

3. Masks must be worn before leaving the vehicle and must stay on at all times, unless taking a drink of water while socially distanced. The coaches will only allow masks to be removed when social distancing of 6 ft. or more can absolutely be enforced.

4. Occasionally, we will use a common basketball for drills. Before sharing a basketball, campers will be required to wash and/or sanitize their hands and the ball will be sanitized, as well. Following the drill, campers will again need to wash/sanitize their hands and the ball will be sanitized again, as well. If your camper does not want to use a shared basketball, we will modify the drill and skill so that they can still improve using their own ball--just please have them speak up and tell us.

5. Occasionally, we will run drills with an offense vs. defense. Facemasks will be required when scrimmaging offense vs. defense. Live offense vs. defense repetitions will be kept short in order to ensure the drill is non-exhaustive. If at any point in time, a camper feels they are struggling to catch their breath; they are to stop playing immediately, and remove their mask while staying 6 ft. away from anybody else. They should also inform the coaches, as well.

6. No spectators or volunteers will be allowed in the gym at any time. Only trained staff and campers may be in the gym.

7. Each participant must sign the online waiver below (by their parent/guardian) agreeing to adhere to the guidelines outlined in our approach plan and that they understand the inherent risk with COVID-19.
Email address *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Which camp would you like to sign up for? *
If selected, are you interested in joining a team that will practice on Wednesdays (same time) and participate in several games & tournaments throughout the duration of the camp? *
This team would require an additional payment to cover the cost of tournament entry fees and gym rental.
Player's First Name *
Player's Last Name *
Player's Age *
Birthdate *
Player's Gender *
Grade *
If summer session, grade entering in fall.
School *
If summer session, school attending in fall.
Phone Number (Primary) *
Alternate Email
Other than the email already provided--perhaps other parent's email address.
Alternate Emergency Contact Name *
Other than guardian already listed
Alternate Emergency Contact Phone Number *
*NO parentheses or dashes.* Other than the primary number already listed.
Name of Player's Physician *
Physician's Phone Number *
No parentheses or dashes.
Allergies or Other Conditions
I give my child permission to participate in the John Ulrich Basketball Program and hereby waive, release and forever discharge any and all claims against organizers, coaches, sponsors, organizations or persons providing facilities, volunteers or any agent,affiliate or employee thereof for damages and/or injuries to the participant which may arise from the participation in the Program. In addition, I hereby agree to indemnify and hold harmless the above described of and from all loss, damage and expense by reason of any claim for such damages and/or injuries brought or recovered by my child against the above described.As a parent and/or legal guardian, I do herewith authorize treatment by a qualified and licensed medical doctor of the above minor in the event of a medical emergency which, in the opinion of the attending physician may endanger his or her life, cause disfigurement, physical impairment or undue discomfort if delayed. The authority is granted only after a reasonable effort has been made to reach me. The release form is completed and signed of my own free will with the purpose of authorizing medical treatment under emergency circumstances in my absence. *
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19: The novel coronavirus, COVID-19, has been declared a worldwide pandemic. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. John Ulrich Basketball has put in place preventative measures to reduce the spread of COVID-19; however, the Releasees cannot guarantee that you will not become infected with COVID-19. Further, participation in John Ulrich Basketball events could increase your risk of contracting COVID-19. READ CAREFULLY BEFORE AGREEING TO EACH PARAGRAPH. *
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my player(s) and I may be exposed to or infected by COVID-19 by participation; and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at John Ulrich Basketball events may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Releasees’ volunteers, agents, representatives, and program participants and their families. *
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my participation with John Ulrich Basketball. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Releasees’ volunteers, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Releasees’ volunteers, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation at John Ulrich Basketball. *
I represent that I have adequate insurance to cover any injury or illness I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or illness myself. I further represent that I have no medical or physical condition which could interfere with my safety in this activity, or else I am willing to assume – and bear the costs of – all risks that may be created, directly or indirectly, by any such condition. *
In the event that I file a lawsuit, I agree to do so in Illinois, and I further agree that the substantive law of that state shall apply. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. *
By signing this document, I agree that if I am exposed or infected by COVID-19 during my participation in this activity, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence. *
I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel prior to signing. Also, I understand that this activity might not be made available to my player(s) or that the cost to engage in this activity would be significantly greater if I were to choose not to sign this release, and agree that the opportunity to participate in return for the execution of this release is a reasonable bargain. I have read and understood this document and I agree to be bound by its terms. *
I agree that I understand John Ulrich Basketball’s Covid Containment Plan and will practice safe social distancing and clean hygiene during my daughter/son’s participation with John Ulrich Basketball. *
In consideration of my minor child being permitted to participate in this activity, I further agree to indemnify and hold harmless Releasees from any claims alleging negligence which are brought by or on behalf of minor or are in any way connected with such participation by minor. *
I understand that any signature (including any electronic symbol or process attached to, or associated with, a contract or other record and adopted by a Person with the intent to sign, authenticate or accept such contract or record) hereto or to any other certificate, agreement or document related to this transaction, and any contract formation or record-keeping through electronic means shall have the same legal validity and enforceability as a manually executed signature or use of a paper-based recordkeeping system to the fullest extent permitted by applicable law, including the Federal Electronic Signatures in Global and National Commerce Act, the New York State Electronic Signatures and Records Act, or any similar state law based on the Uniform Electronic Transactions Act, and the parties hereby waive any objection to the contrary. *
Electronic signature of Parent/Guardian *
Date Signed *
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