Hoop Kulture Athlete Intake Form
Email: info@hoopkulture.org
Contact: 206-310-5264 
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Please note that all information provided or shared with Hoop Kulture will remain protected and confidential. Your personal details will be used only for internal program purposes and will not be shared or distributed outside of Hoop Kulture.
Athlete's Full Name *
Age and Grade *
Athlete's Street Address *
Skill Level *
Playing Experience *
Parent or Guardian Name *
Email Address *
Phone Number *
Media Release and Content

By submitting this form, I acknowledge and agree that Hoop Kulture, its owner, staff, and authorized representatives may photograph, video record, or otherwise capture images and recordings of my child (or myself, if I am the participant and over 18) during academy activities.

I give full permission for these images and recordings to be used in promotional materials, social media, websites, advertisements, and other marketing or educational platforms for the purpose of promoting the organization.

I understand that these materials may be used without further notice or compensation, and I waive any rights to inspect or approve the final content. I release Hoop Kulture, its owner, and representatives from any liability related to the use of such media.

I have read, understood, and agree to the Media Release and Consent above. *
Required
Waiver and Release of Liability 

By submitting this form, I acknowledge that participation in basketball training and related physical activities with Hoop Kulture involves inherent risks, including but not limited to injury, falls, collisions, or other incidents. I voluntarily agree to assume all risks associated with participation in any current or future training sessions, clinics, camps, team activities, or events hosted by Hoop Kulture.

I release and hold harmless Hoop Kulture, its coaches, staff, volunteers, and any affiliated facilities from any and all liability for injuries, losses, or damages that may occur as a result of my child’s participation or my own, if I am the participant. I understand that it is my responsibility to ensure that the participant is physically capable and healthy enough to engage in physical activity.

In the event of a medical emergency and if a parent or guardian (if applicable) cannot be reached, I authorize Hoop Kulture staff to seek appropriate medical assistance to the best of their ability. I understand that staff are not medical professionals but will act in good faith to respond to the situation and contact emergency services if needed. I agree to take full responsibility for any medical treatment or costs incurred as a result.

This waiver applies to both youth and adult participants and covers all future Hoop Kulture programs, unless revoked in writing.

I have read, understood, and agree to the Waiver and Release of Liability above. *
Required
Signature Fields
Please type your full name and today's date to electronically sign this waiver.
Full Name (Electronic Signature) *
Date *
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