Books & Buckets Summer Youth Academy 2024 Registration - FREE
Books & Buckets Summer Youth Academy is a 8-Week (June-July) Summer Program that provides FREE basketball skills clinics and civic engagement to Long Beach youth ages 8-18. 

The program location TBD

Each program day occurs every Saturday from 9am to 12pm. Food is provided at every program. All youth must apply to be considered for a spot in the program.  

Spots are limited.

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La Academia Juvenil de Verano Books & Buckets es un programa de verano de 8 semanas (junio-julio) que ofrece clínicas GRATUITAS de habilidades de baloncesto y participación cívica para jóvenes de Long Beach de 8 a 18 años.

La ubicación del programa TBD

Cada día del programa ocurre todos los sábados de 9 am a 12 pm. Se proporciona comida en cada programa. Todos los jóvenes deben presentar una solicitud para ser considerados para un lugar en el programa.

Las plazas son limitadas.
Email *
1. Who is filling out this application? / ¿Quién está llenando esta solicitud? *
2. Youth full name / Nombre completo del joven *
First and last name
3. Parent or Guardian Full Name / Nombre completo del padre o guardián *
First and last name
4. Youth Email / Correo electrónico del joven
5. Parent Email / Correo electrónico de los padres *
5a. Verify Email *
6. Parent phone number / número de teléfono de los pardres *
6a. Verify Phone Number *
6b. Could we have your consent to add your phone number to our text message update service? *
7. Youth phone number / número de teléfono del joven *
8. What is the best way to contact you? / Cuál es la mejor manera de ponerse en contacto con usted? *
9. Youth Age /  Edad del joven *
10. Youth Gender / Género del joven *
11. Which of the following best describes you? (mark all that apply) / ¿Cuál de las siguientes te describe mejor? (marque todo lo que corresponda) *
12. Current Address / Direccion (ADRESS #, STREET, CITY, ZIPCODE) *
13. Do you live in the Washington Neighborhood? *
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14. What school do you go to? *
15. Are you currently on any sport teams?
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16. If answered yes above, then which sports?
17. What is your basketball skill level? / ¿Cuál es su nivel de habilidad en baloncesto? *
Required
18. What is your favorite thing about the Washington Neighborhood? / ¿Qué es lo que más le gusta del vecindario de Washington? *
19. What is your favorite book? / ¿Cuál es su libro favorito? *
20. Are there any disability accommodations that we should know about?

B&B RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

MUST BE CONFIRMED BY PARENT IF UNDER 18

I, for myself and on behalf of my personal representatives, heirs, children, spouse, guardians, legal representatives, executors, administrators, successors and assigns and next of kin (“RELEASING PARTY”) enter into this agreement IN CONSIDERATION of my ability to play, practice, learn, compete, observe, work for, volunteer at, or participate in any way in basketball and/or other action sports activities and events at any facility/street/parade operated by City of Long Beach/Books & Buckets(“EVENTS”) as well as IN CONSIDERATION OF me being able to enter into or upon the premises and facilities where the EVENTS are or will be taking place. 

1) RELEASING PARTY  hereby RELEASES, WAIVES, AND COVENANTS NOT TO SUE Books & Buckets/SEE, and each of its affiliated owners, lessors, lessees, shareholders, officers, directors, managing agents, employees, independent contractors, members, agents, attorneys, investors, sponsors, coaches, players, referees, affiliated organizations and entities, and all other persons or entities participating or involved in the EVENTS (“RELEASEES”), from all liability for loss or damage and every claim or cause of action of any kind(“LIABILITY”), including based on the NEGLIGENCE of the RELEASEES or otherwise, arising out of or related to RELEASING PARTY’ participation in the EVENTS and/or any act or omission relating to the EVENTS. This agreement encompasses LIABILITY for all bodily injury, death or property damage arising out of or related to, and for any purpose or reason, RELEASING PARTY’s presence on or about the premises of where the EVENTS are or will be taking place, whether or not RELEASING PARTY is actually actively participating in the EVENTS. Such LIABILITY encompasses, but is not limited to, participation as an active participant or as a spectator, NEGLIGENT rescue efforts or operations, NEGLIGENT implementation of (or the failure to implement or enforce) rules and regulations and guidelines, and NEGLIGENT selection, use, or maintenance of any and all equipment used in connection with the EVENTS. 

2) RELEASING PARTY acknowledges that basketball, extreme sports and activities, and participation in other physical games, activities, and/or challenges are extremely dangerous, and that they can result in serious injury, death, or property damage. This agreement also constitutes an EXPRESS AND CONTRACTUAL ASSUMPTION OF ALL RISK AND DANGERS associated the events, which include, but are not limited to, exposure to extreme conditions and circumstances, severe and/or permanent physical injury, bruises, scrapes, strained, sprained or torn muscles, tendons or ligaments, broken bones, dislocation of joints, concussions, brain damage, nerve and spinal cord injury, paralysis and death. RELEASING PARTY also acknowledges that participation in the EVENTS necessarily involves, without limitation, risks relating participating in or upon adverse and imperfect conditions or surfaces, being exposed to imperfect or unexpected design or layout of the premises, falling, and contacting or colliding with considerable force with other participants, spectators, and natural or manmade objects. The RELEASING PARTY acknowledges and accepts that the EVENTS can and may include participants of all skill levels, and RELEASING PARTY expressly assumes the risks associated with mixed and varying skill levels. RELEASING PARTY also acknowledges that there may be undefined and presently unknown risks and dangers associated with the EVENTS, and that there may be risks and dangers that may result from the NEGLIGENCE of the RELEASEES or from the RELEASING PARTY’s mere presence on the premises and facilities where the EVENTS are or will be taking place. RELEASING PARTY hereby expressly assumes all such risks and dangers whether presently known or unknown.

3) RELEASING PARTY agrees to DEFEND, INDEMNIFY AND HOLD HARMLESS the RELEASEES from any LIABILITY, including from court costs and attorney’s fees, arising out of or related to this agreement or RELEASING PARTY’s participation in any way in the EVENTS and /or the RELEASING PARTY’s presence  upon the premises where the EVENTS are or will be taking place. RELEASING PARTY accepts all terms set forth herein and acknowledges that this is the complete agreement between the parties regarding these issues and that no oral representations, statements or inducements have been made apart from this agreement. RELEASING PARTY HAS READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTANDS ITS TERMS, UNDERSTANDS THAT HE OR SHE HAS GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, INCLUDING THE RIGHTS OF HIS OR HER CHILD AND SPOUSE. RELEASING PARTY INTENDS HIS OR HER SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. If any portion of this agreement is held to be invalid or overly broad, the entire agreement will not be invalidated; rather, the agreement will be deemed modified so as to be applied to the fullest extent permitted by applicable law.

Permission to Record and Use

Partially in exchange for being permitted entrance to the park/facility, on my own behalf and on behalf of the Participant, we expressly agree to grant the Park and any third party authorized by the park/facility the right to film, videotape, photograph, record the voice of and make any reproductions of my/the Participant’s physical likeness and voice and the irrevocable right in perpetuity to use, display, and digitally enhance or alter in any manner, such likeness in any media now known or hereafter devised, including but not limited to the exhibition and/or online use, broadcast, theatrically or on television, cable, radio or internet, of any motion picture film, video tape, DVD, CD or any published articles in which such likeness may be printed, used or incorporated, and in advertising, exploiting and publicizing of the park/facility without the requirement of any prior consent, compensation or attribution

INPUT PARENT'S FULL NAME BELOW TO CONFIRM 

(envia un correo electronico a team@booksandbuckets.org si lo nececitan en esapñol)

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