Basketball is Back 3 vs 3 Tournament 2021

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Monday May 24, 2021 ($20 per player) - Masks Required
Admission Cost - $5 per family

Email *

Player Name *

Grade and Tier as of 2020-2021 School Year *

Type Team Name Here or Type "Need to be placed on a team if possible" *

School *

Parent/Guardian *

Phone *

Emergency Contact (Name) *

Emergency Contact: Phone Number *

I understand that all individuals are REQUIRED to wear a mask while inside the building at Central High School. If I do not wear a mask I will be asked to leave the building and wait outside. *

YES

I understand that due to COVID-19 indoor capacity regulations, each player is limited to 4 fans. *

YES

Spectator Code of Conduct -Please Check each box *

I am not allowed to approach game officials before, during, or after a contest. If I do, I understand that I will be ejected from the facility

My child may only play on one team during the tournament

If I am given a technical foul as a spectator, the opposing team will be given 5 points

Required

I understand by selecting yes, that I acknowledge the contagious nature of COVID-19 and assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending this event at Central High School. I acknowledge that this could result in personal injury, illness, permanent disability, and/or death. *

YES

I understand that the risk of becoming exposed to or infected by COVID-19 at this event may result from the actions, omissions, or negligence of myself and others, including, but not limited to Central High School staff, volunteers, program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including , but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense of any kind, that I or my child(ren) may experience or incur in connection with my chile(ren)'s attendance at this event. *

YES

On my behalf, and/or on behalf of my children, I hereby release, discharge, and hold harmless Mesa County School District #51, its employees, agents, and representatives, of all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of Mesa County School District #51, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in this event. *

YES

I understand and agree as lawful for consideration for my minor child being permitted to participate in the sporting event at Central High School, I agree that neither my minor child nor I will make a claim against, sue, attach the property of or prosecute Mesa County School District #51 and their agents, sponsors, program operators, building contractors, suppliers, employees, volunteers, athletic trainers for damages for death, personal injury or property damage which my minor child may sustain as a result of my child's participation in this sporting activity. This release is intended to discharge in advance Mesa County School District #51 and their agents, sponsors, building contractors, suppliers, and employees, volunteers, athletic trainers from and against any and all liability, including for negligent actions, arising out of or connected in any way with my minor child's participation in this event or any other activity except for liability that may arise out of the willful or wanton misconduct of Mesa County Valley School District #51, and their agents, sponsors and employees, volunteers and athletic trainers. *

YES

I further understand that sports involve physical contact between players, that serious accidents occasionally occur during such sporting activities, and that participants in such sporting activities occasionally sustain serious personal injuries (including death) and/or property damage, as a consequence thereof, knowing the risks of participation, nevertheless, I hereby agree that my minor child and I assume those risks and release and hold harmless Mesa County School District #51 and their agents, sponsors and employees who (through negligence or carelessness) might otherwise be liable to me, my minor child (our our heirs or assigns) for damages. *

YES

I attest that I am eighteen (18) years old or older, and that my child is physically fit and has no known medical conditions which prohibit participation in this sport. My child and I agree to follow all laws, rules and guidelines regulating the conduct of the event. I understand and agree that my child and I are responsible for the mechanical and/or operating condition of any and all sporting equipment provided by my child or by me for my child's use, and I agree that my child and I will continuously inspect and maintain all equipment used, even if we have obtained any of the equipment from Mesa County Valley School District #51, their agents, sponsors, and/or employees. *

YES

I have carefully read this agreement and fully understand its contents. I am aware that this is a release of Liability for myself and my child and and a contract between myself, my child and Mesa County Valley School District #51, and their agents, sponsors and employees, and I have signed it of my own free will. *

Yes

Other:

A copy of your responses will be emailed to the address you provided.

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