Informed Consent and Acknowledgement

I hereby approve of my child’s participation in any and all activities prepared by The Pack Youth Inc.; in exchange for the acceptance of said child’s candidacy by The Pack Youth Inc, I assume all risk and hazards incidental to the conduct of the activities. Release, absolve and hold harmless The Pack Youth Inc, and all its respective officers, agents, and representatives from any and all liability for injuries to the said child arising out of traveling to, participating in, or returning from selected The Pack Youth Gatherings/Events.

In case of injury to said child, I hereby waive all claims against The Pack Youth Inc., including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball.

Medical Release and Authorization
As Parent and/or Guardian of the named student, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination, and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to The Pack Youth Inc. and its affiliates, including Directors, Coaches/Staff, and Parents, to provide the needed emergency treatment before the child’s admission to the medical facility.

Release authorized on the dates and/or duration of this event.

This release is authorized and executed of my own free will, with the sole purpose of allowing medical treatment under emergency circumstances, for the protection of the life and limb of the named minor child, in my absence.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.