Basketball Leadership Training
Athlete Information:
Parent/Guardian Information:
Emergency Contact Information:
Informed Consent and Acknowledgement:
I, the undersigned parent/guardian, hereby grant approval for my child's participation in all activities organized by Mass Hardwood Hustle. In consideration of my child's acceptance by Mass Hardwood Hustle, I willingly assume all risks and hazards associated with the activities. I release, absolve, and hold harmless all respective officers, agents, and representatives from any liability for injuries to my child arising during travel to, participation in, or return from selected camp sessions. In the event of an injury to my child, I waive all claims against Mass Hardwood Hustle, including coaches, affiliates, participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used for the event. It is understood that inherent risks exist in all sports activities, including but not limited to, the risk of fractures, paralysis, or death.
Medical Release and Authorization
As the parent and/or guardian of the named athlete, I authorize the diagnosis and treatment by a qualified and licensed medical professional in the event of a medical emergency. If, in the opinion of the attending medical professional, immediate attention is necessary to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering, or discomfort, I grant permission for medical or minor surgical treatment, x-ray examination, and immunizations for the named athlete.
In the case of an emergency arising from serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to Mass Hardwood Hustle and its affiliates, including Directors, Coaches, and Team Parents, to provide necessary emergency treatment prior to the child’s admission to the medical facility.
Release Authorized for the Duration of the Registered Session
This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of the life and limb of the named minor child, in my absence.
By acknowledging and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.
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