Youth Weekly Basketball Training at ISOC
Please complete the registration form below
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Player First and Last Name *
Date of Birth *
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Parent First and Last Name *
Email for Contact Purposes *
Phone Number for Contact Purposes *
Please mark ALL timings you are available.  We have limited spots available, and we will do our best to accommodate everyone.  We will reach out once we finalize the schedule.     *
Required
What level would you rate you child's basketball skills? *
Emergency Contact First and Last Name *
Emergency Contact Phone Number *
Waiver Section – Please Read, Initial and Sign

READ CAREFULLY BEFORE SIGNING

Release and Indemnity (Adult – 18 years of age or over; Minor – under 18 years of age)

In consideration of my or my child’s participation in the above-referenced Activity/Sport Type, I agree to assume the risks incidental to such participation, including risks of major and/or minor physical injury, death, or disfigurement. These risks may include, but are not limited to, those caused by aggressive play, unsafe play, terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, and actions of other individuals including participants, volunteers, spectators, coaches, and lack of hydration or general physical conditioning. I acknowledge that I have inspected or will inspect the facilities and equipment to be used in conjunction with the Activity. If I believe any unsafe condition exists, I will immediately notify an activity official and refuse participation until the condition is corrected.

On my own or my child’s behalf, and on behalf of my or my child’s heirs, executors, administrators, and next of kin:

I hereby waive, release, covenant not to sue, and forever discharge Abdorruhman Yousef, Yaser Yousef, and the Islamic Society of Orange County, together with any and all related entities, and the officers, directors, employees, and volunteers of any of them, and any and all Activity sponsors or charities, and each of their parent, related, and affiliated companies, and the officers, directors, employees, agents, Board of Supervisors, representatives, successors, and assigns of each of the foregoing entities (collectively, the “Released Parties”), from all liabilities, claims, actions, damages, costs, or expenses of any nature arising out of or in any way connected with my or my child’s participation in such activities.

I further agree to indemnify and hold each of the Released Parties harmless against any and all liabilities, claims, actions, damages, costs, or expenses, including all attorney's fees and disbursements up through and including any appeal. I understand that this Release and Indemnity Agreement includes claims based on the negligence, carelessness, action, or inaction of any of the Released Parties, and from dangerous or defective equipment or property owned, maintained, or controlled by the Released Parties. This covers bodily injury (including death), property damage, and loss by theft or otherwise, suffered by me or my child before or after such participation.

I declare that I or my child are physically fit with the skill level required to participate in this Activity and have not been advised not to participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my or my child's participation. I further authorize medical treatment for myself or my child at my cost if the need arises.

I also understand that my child or I may be required to leave the Activity venue should my child or I exhibit undesirable conduct.

This Waiver and Permission Form shall be governed by the laws of the State of California, and any legal action relating to or arising out of this Waiver and Permission Form shall be commenced exclusively in the Orange County Superior Court, California (or if such Court does not have jurisdiction over the subject matter thereof, then to such other court sitting in said county and having subject matter jurisdiction), and I specifically waive the right to trial by jury.

I certify that I am 18 years of age or older. If I am executing this Waiver and Permission Form on behalf of my child, the information set forth above pertaining to my child is true, accurate, and within my legal authority
*
Signature *
The fee for training is $100 per month.  Please confirm you have submitted payment.  At this time, you can submit payment via Zelle (714) 277-9435 or Venmo @Abdorruhman-Yousef *
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