Waiver & Release Form

REGION ELITE WAIVER AND RELEASE FORM

Every player, coach, scorekeeper and clock worker and their Parents or legal guardians must read and sign this Waiver and Release form. The signatures on this form will constitute an acknowledgment that each person has read and understands this form in its entirety.There are risks connected with my child/ward’s participation on this basketball team and its related actives (to include but not limited to practices, scrimmages etc). Such risks include the risk of injury, both as a participant and a fan; therefore, and in consideration of being permitted to participate in this basketball program, I hereby agree to specifically assume all risks of injury from playing or watching this event. I further release, discharge hold harmless and expressly waive any and all claims or actions, both in tort and contract, which I or my child may have or acquire against Region Elite, Bishop Noll Institute, Boys and Girls Club and city of Hammond facility or any facility associated with Region Elite.  This waiver also its officers, directors, agents, employees and the City of Hammond as a result of any injury which my child/ward or I sustain as a result from playing or participating in this program or watching the games. This waiver and release further extends to any and all risks of loss or damage to personal property whether by theft or any other cause.

I further acknowledge in signing this form that I have my own insurance which covers myself and the child that I am signing for as a parent or legal guardian. In signing this form, I am acknowledging that I am responsible for and am assuming my own risk of injury and that of the child/ward I have signed for.  It is the intention of Region Elite to make this experience for your child enjoyable in effort to further your child’s interest in the sport.

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Parent or Legal Guardian Signature                                                          Date

The signatures on this form will constitute an acknowledgment that each person has read and understands the waiver and release form.

Please print:

Player(s) Name _________________________________________             Age_______

Parents Email Address: _____________________________ Phone: (____) _______________

Alternate point of contact: _____________________________ Phone: (____) ____________