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RELEASE
AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
IN
CONSIDERATION of the listed registrant's being accepted for the 2010-11
Virginia Elite Basketball Skills Academy programs and activities (the
"Programs"), I, for myself and the registrant, for which I am
parent and/or legal guardian, and my assigns, heirs, and next of kin:
1.
ACKNOWLEDGE, agree and represent that my son/daughter (the
"registrants") has received a physical examination by a
physician and has been found to be capable of participating in the
Programs. I hereby give my consent to have an athletic trainer and/or
doctor of medicine or dentistry provide my son/daughter with the medical
assistance and/or treatment and agree to be responsible financially for
the reasonable cost of each assistance and/or treatment.
2.
FULLY UNDERSTAND that: (a) basketball involves risks and dangers of
serious bodily injury, including permanent disability, paralysis, and
death ("Risks"); (b) these Risks and dangers may be caused by my
registrant's actions or inactions, the actions or inactions of others
participating in the Programs, the condition in which the Program takes
place, or the negligence of the "Releases" named below; and (c)
there may be other risks and social economic losses either not known to me
or not readily foreseeable at the time. I hereby accept and assume all
such risks and all responsibility for losses, costs, and damages incurred
as a result of my registrant's participation in the Programs.
3.
HEREBY RELEASE, discharge and covenant not sue Virginia Elite, coaches,
players, trainers or personnel involved in sponsoring the Programs, the
managers of the Programs and their respective affiliates and all of their
respective administrators, directors, agents, officers, members,
volunteers and employees, other participants, any sponsors, advertisers,
and if applicable, owners and lessors of premises on which the Programs
take place (each considered one of the "Releases" herein) from
any and all liability, claims, demands, losses, or damages on my or the
registrant's account caused or alleged to be caused in whole or in part by
the negligence of the "Releases" or otherwise, including
negligent rescue or operations; and I further agree that if, despite this
Release and Waiver of Liability, Assumption of Risk and Indemnity
Agreement, or anyone on my or the registrant's behalf, makes a claim
against any of the "Releases," I will defend, indemnify, save
and hold harmless each of the "Releases," from any and all
litigation expenses, attorney fees, losses, liabilities, damages, or costs
which may incur as a result of such claim.
4.
HEREBY GRANT Virginia Elite the right to use images of my son/daughter in
the future marketing and/or promotion of the Programs, or Virginia Elite
generally through the use of his or her image or likeness in all
promotional materials and internet initiatives, including flyers,
brochures, and online.
I have
read this agreement, fully understand its terms, understand that I have
given up substantial rights by signing it and have signed it freely and
without inducement or assurance of any nature and intend it to be a
complete and unconditional release of all liability to the greatest extent
allowed by law and agree that if any portion of this agreement is held to
be invalid the balance notwithstanding, shall continue in full force and
effect.
Parent
/Guardian Name (Required):
Date of
Birth (mm/dd/yyyy) (Required):
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