Basketball Camp 2019
T shirt Size *
What Size T shirt would you child wear
Child Information
Child's Name *
Your answer
Gender *
Child Grade *
Basketball League Involvement / Experience
Your answer
Parent / Guardian Information
Name *
Your answer
Address *
Your answer
Email *
Your answer
Phone Number & Emergency Contact *
Your answer
Insurance Company *
Your answer
Group Number *
Your answer
Medical Notes
Your answer
Liability Statement *
In consideration for my child being permitted to participate in The Greatest Champion Basketball Camp, related events and activities, by checking the above I "agree with terms" statement. I consent that: as the natural parent and/or as the legally authorized guardian, do hereby for myself, my spouse, my child, and on behalf of my/our heirs, personal representatives, and assigns, agree not to sue and hereby release, waive, discharge, hold harmless and indemnify and forever defend The Greatest Champion Foundation individually and collectively, its officers, employees, servants, agents, and directors, from any and all liability, losses, claims, actions, suits, procedures, demands, rights, and causes of action of whatever nature, in law and equity, for any and all known or unknown, foreseen or unforeseen, bodily or personal injuries, death and permanent injury, illnesses, damage to property, or other losses, and any consequences thereof, including expenses, costs, and attorney’s fees, as may be sustained by my child or me arising out of or in any way associated with my child’s participation in The Greatest Champion Basketball Camp or travel incident thereto, whether by negligence or not to the fullest extent permitted by law. The risk of serious injury to my child from these camp activities does exist including the potential for permanent disability and death. I understand and fully acknowledge that my child’s participation in these activities is solely at our own risk and I assume full responsibility. I hereby further declare that my child has had a physical examination within the past one 1) year and is physically able to participate in all camp activities. Moreover, I hereby understand and affirm that the camp only provides for excess medical insurance and any charges including deductibles related to the medical care provided to my child will be the responsibility of my primary insurance carrier or me. I HAVE CAREFULLY REVIEWED AND VOLUNTARILY AGREE TO THE TERMS OF THIS CAMP WAIVER AND RELEASE OF LIABILITY AGREEMENT. CHECK BOX BELOW.
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