Established 1991 |  Global Sports Academy  |   West Chester, Pa  |   (610) 742-5000
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Back to Basics
Boys Travel Team

CONSENT FORM
Informed Consent - PLEASE READ CAREFULLY

1.In consideration of being permitted to participate in any way in the Back to Basics (B2B) sessions, the parent(s) and/or legal guardian(s) of the minor participant named above agree: ---That participation is voluntary and at my/minor's own risk; ---That a basketball practice is a physical activity involving heavy exertion. A participant must be in good general health, free from cardiovascular and respiratory disease, or other diseases or ailments and have good exercise tolerance; ---That while participating in a basketball practice the human body is subject to a variety of influences that may become potentially hazardous, some of which include but are not limited to, severe head injury and a variety of other bodily injuries, such as broken bones, including the potential for permanent disability and/or death;

2.Notwithstanding these risks, for and in consideration of the minor's participation, I, for myself, the minor, and the minor's assigns and heirs do waive, release, and discharge B2B, Roy Blumenthal, practice venues, clients, other participants, and employees from any and all claims, demands, actions, causes of actions, costs and expenses for and by reason of any personal injury, property damage, loss and expense, which heretofore have been or hereafter may be sustained or suffered by the minor in consequence of and as a result of a certain accident, casualty or event or the minor's presence or activities in connection with this developmental basketball session. I also agree to indemnify and hold harmless B2B and its employees for injuries sustained either by the minor and/or caused by the minor to others during the basketball session. Furthermore, I acknowledge that the risks outlined above are not intended to be all-inclusive and voluntarily accept all risks known or unknown. With my electronic signature below, I grant B2B to use my minor's image and likeness in promotional materials.

3.By filling out and completing the registration form you are acknowledging that you have read the above document consent to the terms as explained. Press the NEXT button and complete the registration form if you have read and agree to the aforementioned informed consent information. (required)

To the Registration Form