General Liability, COVID, and Photo Release Form
For the SPANISH VERSION, PLEASE CLICK THIS LINK.

Please read this form carefully and be aware that in signing, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your child might sustain as a result of participating in any and all activities connected with and associated with Atlas Hoops (Atlas Hoops, LLC).

By signing below I consent that I have read and fully understand, and agree to the above important information, warning of risk, assumption of risk and waiver and release of all claims.
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Email *
ATHLETE'S FULL NAME:
 *
PURPOSE OF VISIT (CHOOSE ONE):  *
Required
DATE OF BIRTH:

(Month/Day/Year)
 *
PHONE NUMBER
(xxx) xxx-xxxx *
INJURY, MEDICAL CONSENT, COVID, SUBROGATION WAIVER, EQUIPMENT DAMAGE, AND PHOTO RELEASE AGREEMENT:


By checking the box below, I acknowledge and consent that I have read and fully understand, and agree to the terms and conditions (outlined in our General Liability Waiver Form Agreement)

 *
Required
INSTAGRAM USERNAME (for ATLAS Open Runs)

If you would like VIDEOS from ATLAS Open Runs, please leave your Instagram User Name below.

This is ONLY for Open Runs HOSTED by ATLAS Hoops. 

HOW DID YOU FIRST HEAR ABOUT ATLAS HOOPS?

 *
Required
EMERGENCY CONTACT INFORMATION

(First, Last Name and Phone Number) *
By typing your name below, I acknowledge that I have read, understood, and agree to the above terms, including the risk warnings and release of claims.

Please type in FULL NAME (FIRST & LAST NAME) & DATE (mm.dd.year). *
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