Child's Name *

First Name

Last Name

RELEASE WAIVER I/we hereby attest that I/we are fully cognizant of the assumed risks involved in the sport of basketball and the Prodigy Athletic events I/we voluntarily assume and agree to abide by the published and spoken rules of this organization and protocols at all times regardless of time and location and for the entire length of student athletes participation GOOD HEALTH. I/we acknowledge and fully understand that your student athlete will be engaging in a contact sport that might result in serious injury or death due to or not due to your student athletes actions. I/we further attest that the student athlete does not suffer from any known heart condition is in good health and can handle the contact associated with the sport In the event of any injury our certified trainer or a qualified staff member will provide immediate examination and/or treatment. If I/we cannot be contacted the emergency contact will be called and/or be directed to transport the student athlete by car or ambulance to the nearest medical facility CED section 11710 ASSUMPTION OF RISK I/we assume all liabilities and release waiver discharge the right to pursue and legal past present or future against the organization administrators school districts schools school staff employees organizers volunteers coaches incidental or direct liability connected with the student athletes participation

I/we Agree

Date

MM

DD

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