WAIVER OF LIABILITY & CONSENT FOR MEDICAL TREATMENT
I, the parent or legal guardian of the above named player, the “Registrant” recognizes that basketball can be a dangerous activity, yet I wish to assume all risks associated with participation in basketball activities to be conducted during the New Berlin Youth Girls Basketball programs and/or summer leagues. Activities include but are not limited to: playing basketball or attending a game, tournament play, practice, or scrimmage. I further acknowledge and understand that travel to and from games, practices, and tournaments by automobile or other means of transportation may be necessary and that such travel carries with it inherent risks of injury. I further acknowledge that there may be a higher risk of transmission of COVID-19 (including new COVID-19 variants) during athletic activity, including travel to and from activities. With full knowledge of the above-referenced risks, I hereby accept and assume full responsibility for any and all harm caused by negligence and release, discharge and/or otherwise indemnify New Berlin Youth Girls Basketball, their coaches, staff, and volunteers, directors and officers, league and tournament sponsors and their directors and officers and any of their facilities utilized for basketball as to any claims and causes of action by or on behalf of the Registrant and her parents or legal guardians. This release includes transportation to and from basketball games and tournaments, which I hereby authorize. With full knowledge of the risks of injury in the game of basketball, I hereby authorize the following persons to administer emergency medical treatment to my child, the Registrant, for any injury or other medical emergency while at a practice, game, tournament, scrimmage, or while attending or traveling to or from any of those activities: all coaches and managers of my child’s team, all officers and officials of the basketball club to which my child’s team belongs, and all directors, officers, sponsors, officials or agents of any league or tournament that my child may participate in. This consent also extends the right to those persons listed above to arrange for immediate medical treatment by a licensed physician and/or other trained medical personnel, and for them to provide such emergency medical care, as they deem appropriate to preserve the life or well being of my child. My child and I hereby release, hold harmless and indemnify the above-listed persons for any injury or damage related to administration of emergency medical care as authorized herein. Consent for name use: I give my permission to have my child’s name and photo used for publicity purposes. I also give permission for my child’s photo and first name only to be used on the New Berlin Youth Girls Basketball web site (when applicable.) I have read and fully understand the above statements. I acknowledge that before signing, I had an opportunity to contact New Berlin Youth Girls Basketball to discuss any questions I had about the above release and consents. By checking the "I Agree" box below I agree to the waiver and consent above.
