(5th-6th Grade)

ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM 

I hereby assume all of the risks of participating in Davon Reed’s Basketball Camp, including by way of  example and not limitation, any risks that may arise from negligence or carelessness on the part of the  persons or entities being released, from dangerous or defective equipment or property owned, maintained  or controlled by them, or because of their possible liability without fault.  

I certify that I am physically fit and have not been advised to not participate by a qualified medical  professional. I certify that there are no health-related reasons or problems which preclude my  participation in Davon Reed’s Basketball Camp. I acknowledge that this Accident Waiver and Release of  Liability Form will be used by the organizers of the camp in which I may participate and that it will  govern my actions and responsibilities at said camp.  

In consideration of my application and permitting me to participate in Davon Reed’s Basketball Camp, I  hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as  follows:  

(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to  liability arising from the negligence or fault of the entities or persons released, for my death, disability,  personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me  including my traveling to and from Davon Reed’s Basketball Camp. THE FOLLOWING ENTITIES OR  PERSONS: ALL IN Davon Reed’s Basketball Camp, and/or their coaches, agents, representatives or  volunteers.  

(B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons  mentioned in this paragraph from any and all liabilities or claims made as a result of participation in  Davon Reed’s Basketball Camp, whether caused by negligence or otherwise.  

THE FOLLOWING ENTITIES OR PERSONS: ALL IN Davon Reed’s Basketball Camp, and/or their  coaches, agents, representatives or volunteers 

I acknowledge that Davon Reed’s Basketball Camp may carry with it the potential for death, serious  injury, and personal loss. The risks may include, but are not limited to, those caused by terrain, facilities,  temperature, weather, condition of participants, equipment, vehicular traffic, actions of other people  including, but not limited to, participants, volunteers, spectators, coaches, and lack of hydration.  

(C) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to  liability arising from the negligence or fault arising out of emergency medical care provided at the camp. THE FOLLOWING ENTITIES OR PERSONS: ALL IN Davon Reed’s Basketball Camp, and/or their  coaches, agents, representatives or volunteers 

I consent and agree that Davon Reed’s Basketball Camp and/or their coaches, agents, representatives or  volunteers may take photographs or digital recordings of me as a participant during this event and use 

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ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM 

these in any and all media for training or promotional purposes. I further consent that my identity may be  revealed therein or by description text or commentary. I waive any rights, claims or interest and I  understand that there will be no financial or other remuneration.  

The accident waiver, release of liability and image release shall be construed broadly to provide a release  and waiver to the maximum extent permissible under applicable law. 

I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS  CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT  AND I SIGN IT ON MY OWN FREE WILL. 

 

PARENT/GUARDIAN WAIVER FOR MINORS (under 18 years old):

The parent and or natural guardian does hereby represent that he/she is, in fact, acting in  such capacity, has consented to his/her child or ward’s participation in the Sports Camp, and has agreed  individually and on behalf of the child or ward, to the terms of the accident waiver and release of liability  set forth above. The undersigned parent or guardian further agrees to save and hold harmless and  indemnify each and all parties referred to above from all liability, loss, cost, claim, or damage whatsoever  which may be imposed upon said parties because of any defect on lack of such capacity to so act and  release said parties on behalf of the minor and the parents or legal guardian.