Hoops There It Is!  3V3 Basketball Tournament
Release Of Liability/Medical Waiver  
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I HAVE READ AND AGREE TO THE TOURNAMENT RULES AS POSTED ON THE FOLLOWING LINK:  https://7bd62032-60c2-4503-bd71-1d5139ea0df9.filesusr.com/ugd/f03f6a_19ed50132b3f4804a3b861ba86eb324a.pdf *
Release Of Liability/Medical Waiver  
 A.  The risk of injury from the athletic & physical activity is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist.

B.  Participation in “Hoops There It Is” 2021 (tournament), could result in risk of exposure to viruses, infections, and contagious diseases.  By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I and/or my child(ren) may be exposed to or infected by COVID-19 by participating in the tournament and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of I and/or my child(ren) becoming exposed to or infected by COVID-19 at the tournament may result from the actions, omissions, or negligence of myself and others, including, but not limited to, tournament host, staff, volunteers, and program participants and their families.

C.  I knowingly and freely assume all such risks to myself and/or my child(ren), both known and unknown, and assume full responsibility for my and/or my child(ren)’s participation in the tournament; and I willingly agree to comply and cause my child(ren), if applicable, to comply with the stated instructions and policies and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself and my child(ren) from participation and bring such to the attention of the nearest official immediately; and I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify and hold Merrifield Dunn Loring & Dynamic DJ Entertainment and their officers, officials, agents and/or employees, staff, contractors, other sport participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises of the event or activity (“Releases”) harmless with respect to any and all injury, disability, death, or loss/damage to person or property, to the fullest extent permitted by law.

D.  If, in the determination of tournament host, its assignees, a medical professional or the like, a player is in medical danger by participating in or continuing to participate in the tournament, then it shall be determined that the participant shall be ruled ineligible to continue play.  While every attempt will be made to continue play for that player and/or their team, the health of all participants shall overrule the continuation of play.  All participants agree to act under the direction of tournament host to maintain the best possible safety protocols.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

I understand, agree, and acknowledge that some activities may be of a hazardous nature and/or include physical and/or strenuous activity. Understanding this, I state that I have no medical condition or impairment that might inhibit my safe and active participation in the above listed activity. In addition, I understand that tournament host does not provide medical insurance coverage for activity participants and that any applicable medical insurance must be provided individually by such participants. In the case of injury or medical emergency and in the event participant, or their parent or guardian, cannot respond at the time of the emergency, tournament host has permission to seek, administer, or have administered whatever first aid or emergency medical care deemed necessary for participant’s welfare, and it is understood that participant, and not tournament host, shall be responsible for any and all charges for such health care services regardless of whether participant’s medical insurance would cover such charges.
Signature (If participant is under the age of 18, parent/legal guardian signature) *
Date *
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Name(s) of Minor Child(ren) Participating (N/A if Not Applicable) *
Name of Participant (Adult) (N/A if Not Applicable) *
Phone Number of Participant *
Emergency Contact Name *
Emergency Contact Relation *
Emergency Contact Phone Number *
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