Renfrew Herd - Basketball Clinics

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2024 Spring Clinics consent form

Participant's First name *

Participant's Last name *

Participant's age *

Date of birth *

YYYY

Guardian's #1 First and Last name *

Guardian's #1 email *

Guardian's #1 phone number *

Guardian's #2 First and Last name

Guardian's #2 email

Guardian's #2 phone number

I, [Parent/Guardian], hereby acknowledge and accept that my child, will be participating in the Renfrew Herd Basketball Camp. I understand that there are inherent risks associated with basketball activities, and I assume all such risks on behalf of my child. I release Renfrew Herd Basketball Camp and its staff from any liability for injuries or damages that may occur during the Camp. I authorize the Camp staff to seek medical attention for my child if necessary. I acknowledge that I am responsible for any medical expenses incurred. I also grant permission for the Camp to use photographs and videos of my child for promotional purposes. By signing this waiver, I waive certain legal rights and agree to abide by the Camp's rules *

I (parent/guardian) acknowledge this agreement

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