By checking this box, I hereby give my permission for the above registrant to participate in a basketball clinic run by Patriot Basketball, Inc. I understand that participation in Patriot Basketball, Inc. clinics by the child listed above involves a certain degree of risk that could result in injury, death or loss or damage to a person or property. After carefully considering the risk involved, I hereby release, hold-harmless and waive all claims associated with this activity that I may have against Patriot Basketball, Inc., its employees, officers, directors, agents, volunteers and members. *