MachinePro Liability Waiver

Infinity 8 Basketball, Inc.

DBA

“MachinePro”

Waiver of Liability

Insurance Information:

I, the undersigned parent or legal guardian, declare that my child has medical insurance.

Emergency Authorization:       

I, the undersigned parent or legal guardian, hereby authorize the designated instructor or official acting as an activity supervisor, as my agent, to seek medical, surgical, or dental examination and treatment in the event of an injury.

Waiver of Liability and Disclaimer:        

I, the undersigned parent or legal guardian, hereby agree to allow the individual named herein to participate in the aforementioned activity, and further agree to indemnify and hold harmless, MachinePro, its employees, volunteers, and other representatives from any claims arising out of or relating to any physical injury that may result from the participation in AAU basketball practice, tournaments, workouts, camps, clinics, class or activity.

I, the undersigned parent or legal guardian, hereby agree that MachinePro and its staff do not assume liability for any injuries incurred while at MachinePro practices, games, events, tournaments camp/clinics or on the way to any MachinePro activity.  Parents or Guardians should contact their own insurance carrier to get additional insurance for the participant, if necessary. As a condition of enrollment, the following disclaimer of liability must be signed and dated by the participant’s parent or guardian.  The participant attending/participating in MACHINEPRO activities/events does so at his or her own risk. MachinePro and its officers, agents and staff shall not be liable for any damages arising from personal injury sustained by the participant while at or on the way to and from any activity. The participant and his or her parents or guardians assume full responsibility for any damages or injuries which may occur to the participant during the session and so hereby exonerate and discharge MachinePro, its officers, agents and staff from any and all claims, demands, damages, rights of action or causes of action, present or future, whether the same be known, anticipated or unanticipated, resulting from or arising out of the participation in the program.  I understand that basketball is a potentially risky activity in which my child might be injured severely this includes death.  I therefore release any and all MachinePro staff members from liability of any kind of injury to my child, however serious, because of the connection with the activity.  I/we allow the use of my/our likeness(es) for program publicity.  MachinePro reserves the right to use any photos or video taken during clinics, camps, workouts, practices, and tournaments.

I/we acknowledge that I/we have read the above information and understand its contents.

Player Name:  _________________________________

Emergency Contact:  __________________________    Emergency Contact Number:  _________________

Insurance Carrier:  ____________________________    Insurance Policy#:  ____________________________

Parent Name:  ____________________________           Parent Signature:  ______________________________