Registration and Waiver Form Athlete InformationAthlete Name* First Last Athlete Date Of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920School*Grade*Parent InformationParent Name* First Last Parent Phone*Parent Email* Additional Emergency ContactRelease of liabilityIn consideration of Ball Hogg Academy training program and granting the athlete permission to participate, I hereby state that Ball Hogg Academy program and the individuals representing the Ball Hogg program are not responsible for any preexisting injury or recurrence of any undisclosed preexisting injury or illness of the listed athlete. I further acknowledge and release the Ball Hogg Academy program, all coaches, and all its participants with the program from all liability including claims and suits at law or equity for injury that may result from the athlete taking part in the Ball Hogg Academy program.Release of liability - INITIALS*Parent or legal guardian acknowledgeI, as a parent or legal guardian, acknowledge and fully understand that the participant will be engaging in activities that involve risk or serious injury and that there may be other risks not known or not reasonably foreseen at this time. I assume all the foregoing risks and accept personal responsibility for any damages following such injury, permanent disability, or death. I hereby consent to said minors participation and assume all the risks of his/her personal injury that may result from program activities. Acknowledge - INITIALS*PHOTO AND DIGITAL PHOTOGRAPH RELEASEI hereby authorize Ball Hogg Academy Basketball Administration, the right to reproduce, distribute, transmit, publish, display, in whole or in part, either digitally or in any other medium used, my child’s name and/or photographic image. I agree that such reproduction of picture/video may be edited as desired and used in whole or in part in the activities of Ball Hogg Academy. I release and discharge BallHogg Academy and its agents, representatives, and assignees from any claim or cause of action now know or later discovered, for among other things, invasion of privacy, right of publicity, and defamation arising out of the use and utilization of the photographs.Assumption of Risk, Release of Liability, and Medical and Media AuthorizationMEDICAL AUTHORIZATION: I acknowledge that I am responsible for all medical and other costs arising out of bodily injury or any loss sustained through participation in Ball Hogg Academy activities. I hereby authorize and give my consent to Ball Hogg Academy to act on my behalf to secure any hospital, physician, ambulance and/or medical personnel for immediate treatment deemed necessary in connection with Academy activities. I understand that should an emergency medical problem arise, an attempt will be made to call the emergency phone number(s) that I have provided. In the event that the emergency contact cannot be reached, I hereby give consent to such treatment as deemed necessary by a licensed health care professional. ASSUMPTION OF RISK: I understand that participation in a Ball Hogg Academy activities involves the substantial risk of injury, including but not limited to cardiovascular stress, head and brain injuries including concussion, and damage to bones, joints, muscles, internal organs and the spinal cord or column. I understand that the risk of such injuries cannot always be reduced or prevented despite the best efforts or due care by Ball Hogg Academy. I further understand that any injuries I suffer during participation in the Academy activities, including those resulting from transportation, could lead to permanent physical or mental impairment, cognitive deficits, paralysis or even death. I hereby assert that my participation in the Ball Hogg Academy program is voluntary, and that I knowingly assume all risk of injury. RELEASE and GENERAL LIABILITY WAIVER: I hereby release, waive, discharge and covenant not to sue Ball Hogg Academy of and from any and all claims, suits, actions, or causes of action (collectively, "Claims") arising out of or related to my participation in the Academy activities, including but not limited to Claims for wrongful death, personal injury, property damage, loss or theft of property and contribution under a joint tortfeasor theory. MEDIA RELEASE: I hereby consent to the use of my photograph, image, voice, written and/or verbal statements (“materials”) by Ball Hogg Academy in its publications, videotaping, advertisements, brochures, websites, etc. I agree that Ball Hogg Academy may use my photo with or without my name for lawful purposes including the above. I further acknowledge that there is no agreement or promise on the part of the Academy to compensate me in any way for the use of my materials in said manner. I hereby release Ball Hogg Academy from any and every claim, demand, right, or cause of action of whatever kind or nature, either in l aw or in equity, arising from the use of my materials. I also authorize the use of any information I provide to the university with regard to my personal life and accomplishments for use in promotional materials. ACKNOWLEDGEMENT OF UNDERSTANDING: I have fully and carefully read this agreement and understand its terms. I UNDERSTAND THAT BY SIGNING THIS AGREEMENT, I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY/MY CHILD’S RIGHT TO SUE AND/OR SEEK RECOVERY FROM AURORA UNIVERSITY FOR INJURIES AND CLAIMS RELATED TO MY/ MY CHILD’ S PARTICIPATION IN THE BALL HOGG ACADEMY PROGRAM. I am signing this agreement freely and voluntarily, and if applicable, on behalf of my minor child. I acknowledge that my signature constitutes a complete and unconditional release of all liability to the greatest extent allowed by law. 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