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New Participant Registration

PLAYER INFORMATION
PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL/EMERGENCY CONTACT INFORMATION
WAIVER
1) I hereby certify that my child is in normal health and capable of safe participation in the So. Cal Warriors Basketball Youth sports program.

2) I have given my daughter/son permission to participate in So. Cal Warriors Basketball, Inc. events, and I certify that she/he is in good health, has been cleared by a physician and can take part in all physical activities not limited to but including training, practices and games. I am aware of all laws, rules and safety procedures regarding head concussions.

3) I assume all risk and hazards incidental to the conduct of this program including, but not limited to practices, games and for the transportation (if transportation is delegated to another parent, coach, or other representative of So. Cal Warriors Basketball, Inc.) to and from any program related events including practices and games.

4) I assume all risk and hazards incidental if my child practices or plays games with higher age groups.

AUTHORIZATION FOR MEDICAL TREATMENT
I hereby authorize So. Cal Warriors Basketball, Inc. to obtain medical treatment for my child in the event that a parent/guardian and emergency contact cannot be reached. I also understand my personal insurance (if any) will be used in this case and I will be responsible for any and all medical related expenses for my child. I authorize medical or dental treatment for the Player by any available and qualified physician/dentist or other trained medical personnel should I not be available. In addition, this permission extends to and includes authorization for emergency treatments, procedures, and surgeries for the Player. Furthermore, on-going medical treatment is authorized until such time as the undersigned shall dismiss these physicians/medical personnel in writing and have engaged another qualified physician. This permission and authorization includes admission to a hospital or medical facility if the attending physician deems it necessary.

WAIVER AND RELEASE
I realize that basketball is a vigorous physical activity that involves elements of the activity such as height, flight, and rotation of equipment and players, and rapid directional change. I understand that participation in the basketball program involves certain inherent risks and regardless of the precautions taken by the So. Cal Warriors Basketball, Inc. or the participants, some injuries may occur. Possible severe injuries include, but are not limited to: permanent bodily injury and death. The likelihood of such injuries may be lessened by adhering to the safety rules. In order to properly protect my child's own safety and that of his/her fellow participants, I agree to instruct them to follow rules as well as any others that may be given by the coaches or any representative of the So. Cal Warriors Basketball, Inc. Furthermore, in recognition of the importance of shared responsibility for safety, I agree to immediately report any noted deviations from the safety rules, as well as any observed hazardous conditions or equipment to my coach. I further certify that my child 's level of present level of physical conditions is consistent with the demands of active participation in the above named sport. Included is a a complete list of
all my known health conditions that might affect my child's ability to participate.

I hereby release, hold harmless, discharge and agree not to sue So. Cal Warriors Basketball, Inc., affiliates, directors, officers, coaches, employees, volunteers, agents, sponsors, advertisers, owners/leasers of premises from liability from my child's participation in and with these and any other related travel, lodging, social and recreational activities.

I have carefully read the foregoing document. I have had the opportunity to ask questions and have them answered. lam confident that I fully know, understand, and appreciate the risks involved in active participation in the above sport. Having been informed of the above program to provide practice and any and all games (if applicable), the parent of the named registrant, do hereby give my approval of his/her participation in any and all of the activities. I assume all risks and hazards incidental to the conduct of the activities, and r further release, absolve, indemnify, and hold harmless So. Cal Warriors, Basketball Inc., coaches, directors, officers, the organizers, sponsors, supervisors, volunteers, officials and any related participants. In case of injury to my son/daughter, I hereby waive all claims against the organizers, the sponsors, or any of the supervisors appointed to them. I am voluntarily requesting permission for my son/daughter to participate.

SO. CAL WARRIORS BASKETBALL PHOTOGRAPHY CONSENT, RELEASE AND WAIVER OF LIABILITY
I hereby give my consent to So. Cal Warriors Basketball, Inc. (“Warriors”) to photograph me, child and family for informational, educational, promotional, or publicity purposes concerning the program or it services. I understand that the photograph(s) may be used on the So. Cal Warriors website, social media, official displays, public newspapers, magazines, reports, public documents, electronic or digital recordings. I also understand that the photograph(s) may be used without any further consent or authorization from me. So Cal Warriors Basketball may modify the photograph(s) in the process of editing and I will not be entitled to any compensation for use of the photograph(s).

I also agree to release So. Cal Warriors Basketball, its coaches, volunteers, officials, employees, agents or authorized representatives from any and all liability arising out of or connected to the use of the photograph(s) as stated above.
I have read and understand the foregoing consent, release and waiver of liability and voluntarily accept and agree to its terms.

I further agree to the terms and fees outlined in the Welcome Letter.
 

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