LT3 Basketball Participation Waiver
RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
 
In consideration of participating in sports camp activities, and for other good and valuable consideration, I hereby agree to release and discharge from liability arising from negligence LT3 Basketball and it’s owners, directors, officers, employees, agents, volunteers, participants, and all other persons or entities acting for them (hereinafter collectively referred to as “Releases”), on behalf of myself and my children, parents, heirs, assigns, personal representatives and estate, and also agree to follow:

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I acknowledge that participating in sports camp activities involves known and unanticipated risks which could result in physical or emotional injury, paralysis or permanent disability, death, and property damage. Risks include, but are not limited to, broken bones, torn ligaments or other injuries as a result of falls or contact with other participants,; medical conditions resulting from physical activity; and damage and theft to clothing or other property. I understand such risks simply cannot be eliminated, despite the use of safety equipment, without jeopardizing the essential qualities of the activity. *
Required
I expressly accept and assume all of the risks inherent in this activity or that might have been caused by the negligence of the Releases. My participation in this activity is purely voluntary and I elect to participate despite the risks. In addition, if at any time I believe the event conditions are unsafe or that I am unable to participate due to physical or medical conditions, then I will immediately discontinue participation. *
Required
 I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Releases from any and all claims, demands, or causes of action which are in any way connected with my participation in this activity, or my use of their equipment or facilities, arising from negligence. This release does not apply to claims arising from intentional conduct. Should Releases or anyone acting on their behalf be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs. *
Required
I represent that I have adequate insurance to cover any injury or damage I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or damage 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 costs of- all risks that may be created directly or indirectly, by any such condition. *
Required
 In the event that I file a lawsuit, I agree to do so solely in the state the Releases’ facility is located, and I further agree that the substantive law of that state shall apply. *
Required
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. *
Required
I authorize LT3 Basketball to use me or my children's photos, video, or audio for advertising, decorative, or promotional purpose. *
Required
Provide Name of Athlete *
Phone Number *
Emergency Contact Name *
Emergency Contact Phone Number *
Signature of Participant (if over 18 years old) or Signature of Parent/Guardian (if under 18 years old) *
Today's Date *
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