3 ON 3 BASKETBALL TOURNAMENT 

*Waivers MUST be completed by every player*

Sign in to Google to save your progress. Learn more
ATHLETES FIRST NAME *
ATHLETES LAST NAME *
ATHLETES AGE *
DATE OF BIRTH *
MM
/
DD
/
YYYY
EMAIL ADDRESS *
TEAM NAME *
SELECT AGE BRACKET *
Required
LIST OTHER 3 PLAYERS ON TEAM-SO WE CAN BE SURE TO GROUP TOGETHER IN BRACKET *

I, the undersigned, acknowledge the inherent risks involved in playing basketball in the 3 on 3 tournament being held by the Frederick's Friends Foundation at the Elwood City Courts. This is a release, waive of liability, and promise of indemnification (the "release") which, when signed, contractually waives any claims against the city of Elwood and or the Frederick's Friends Foundation that may arise with my participation in the tournament. I fully understand the risks associated with my participation in the Tournament and do hereby freely and voluntarily, for myself, my heirs, assigns, personal representatives and next of kin, assume all risk and liability for any damage or injury to person or property that may occur as a result of my participation in the Tournament, and I, for myself, my heirs, assigns, personal representatives and next of kin, do hereby RELEASE, DISCHARGE, and COVENANT NOT TO SUE the city of Elwood or Frederick's Friends Foundation, its parents, successors, subsidiaries, directors, officers, employees, contractors, members, insurers, agents and volunteers (collectively, the “Releasees”), and do hereby WAIVE and DISCHARGE all claims, demands, rights or causes of action present or future, whether known or unknown, anticipated or unanticipated, that I might have against the Releasees, for any reason, including NEGLIGENCE ON THE PART OF THE RELEASEES, and agree to indemnify and hold harmless the Releasees, from and against any and all claims, damages, and judgments, of whatever nature, including attorney’s fees, that may be asserted or entered against any of them in connection with my participation in the Tournament. Further, I verify that no medical condition exists which would pose a threat to my health or life during participation in the Tournament, and that I, the undersigned, am medically fit to participate in the Tournament. I hereby give the Frederick's Friends Foundation permission to photograph me, and the perpetual and non-exclusive right to use my image in communications produced by the foundation and others in support of the Tournament. I waive any right to inspect or approve the finished communications. I understand and agree there be no monetary compensation for such use. I have read the Release and fully understand its terms, and understand that I have waived substantial rights by signing this Release, and I have signed it freely and without inducement, coercion, or assurance of any nature, and intend it to be a complete and unconditional release of any and all liability, and agree that, if any portion of this Release is held invalid by a court of competent jurisdiction, any portion not being held invalid shall remain in full force and effect. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND THE FOUNDATION HAS THE RIGHT TO REFUSE TO LET THE UNDERSIGNED PARTICIPATE IN THE PROGRAM IF YOU DO NOT SIGN THIS FORM.

*
Required
PARENT/GUARDIAN SIGNATURE (IF UNDER 18)

Please make check payable to: Madison County Community Foundation: Frederick’s Friends 

(TAX DEDUCTIBLE DONATIONS) 

All proceeds benefit the Frederick’s Friends Foundation

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy