Shehady Basketball Waiver
In exchange for participation in the activity of basketball training organized by Shehady Basketball (Hereinafter, called SB), I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur to me as a result of participation in said SB event.
Medical Conditions. All members should consult with his/her physician before allowing their children to use the services provided by SB or participating in any seasons, sessions, or events hosted or conducted by SB. Member hereby represents and warrants to SB staff that Member’s child (and Member) is in good health and has no disability, impairment, injury, disease, or ailment that prevents Member from engaging in active high-intensity exercise, basketball games, and instruction, or which would cause an increased risk of injury or adverse health consequences as a result of such exercise. Member understands and acknowledges that neither SB, nor any trainer, coach, member, director, officer, employee, school, contractor, advisor or representative of SB has any expertise in diagnosing, examining, or treating any medical condition. This release is intended to discharge in advance Mark Shehady and his SB independent contractors, trainers, coaches, assistants, officials, officers, volunteers, and agents from any liability, even though that liability may arise out of perceived negligence on the persons mentioned above. It is understood that some recreational activities, camps, and sports involve an element of risk or danger of accidents, even accidental death, and knowing those risks, I _____________________________ hereby assume those risks. It is further understood and agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assignees.
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.
I further acknowledge that Shehady Basketball has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
I further acknowledge that Shehady Basketball cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, salon staff, and other salon clients and their families.
I voluntarily seek services provided by Shehady Basketball and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.
I attest that:
* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
* I have not traveled internationally within the last 14 days.
* I have not traveled to a highly impacted area within the United States of America in the last 14 days.
* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-contagious by state or local public health authorities.
* I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
I hereby release and agree to hold Shehady Basketball harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from Shehady Basketball. I understand that this release discharges SB from any liability or claim that I, my heirs, or any personal representatives may have against the salon with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Shehady Basketball This liability waiver and release extends to the facility together with all owners, partners, and employees.
Parental Consent (Complete if applicant is under 18)
I give consent for my child,_________________________________________ to participate in the above SB activities, and I execute the above liability and consent release on their behalf.
Consent for Treatment: I hereby give my consent to have the above applicant treated by emergency medical personnel, a physician, or surgeon, in the case of sudden illness or injury while participating in the above activity. It is understood that SB staff will provide no medical insurance for such treatment and that the cost thereof will be at my expense. I have read and understood the foregoing registration liability release and parental consent form and agree to all of its terms and conditions.
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Parent/Guardian Signature Print Name Date
Player Age/Grade:________ Parent Email: ______________________________
Player Email: ___________________ Parent Phone: _______________________________