Hoops for Hope 3 on 3 Tournament for Make a Wish  Hoops for Hope 
A Benefit for:  
The Hoops For Hope Tournament Will Be Held 
Saturday, July 17, 2010 

Make-A-Wish Application Rules Needs Adult Waiver Child Waiver Street Vault Donors Pictures

To Printout a copy of the Hoops For Hope (Child Waiver Form) click on the following Link:

Hoops-4-Hope (Youth Waiver Form)

 

AUTHORIZATION & WAIVER BY PARENT(S) OR LEGAL GUARDIAN(S) OF MINOR CHILD

 

Each of the undersigned parent(s) or legal guardian(s) of the minor child named below states as follows: 

I am aware that normal and usual athletic and sports-related activities have certain inherent risks and may cause injury to participants.  However, I want my child to participate in the HOOPS FOR HOPE BASKETBALL TOURNAMENT (the “Tournament”), to be held on the premises of All Shepherds Lutheran Church (“ASLC”) in Lewis Center, Ohio in July, 2010, and I give my unqualified permission and consent for my child to participate in the Tournament. 

My child has the necessary skills and is able to participate in all aspects of the Tournament.  The nature of the Tournament has already been fully disclosed to me, and any brochure, flyer or announcement relating to the Tournament is expressly made part of this Authorization & Waiver.

I, on behalf of my child, hereby indemnify, release, hold harmless, and forever discharge ASLC and its members, agents, employees, officials, officers, affiliates, successors and assigns, of and from  any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages, and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I or my child ever had or may have, arising from or in any way related to my child’s participation in the Tournament, provided this waiver of liability does not apply to any acts of gross negligence, or intentional, willful, or wanton misconduct. 

This Authorization & Waiver is binding upon me, my heirs, executors, legal representative, successors, and assigns.  The provisions of this Authorization & Waiver will continue in full force and effect even after the termination of the Tournament conducted by and on the premises of ASLC. 

This Authorization & Waiver is governed by the laws of the State of Ohio and is intended to be as broad and inclusive as is permitted by law.  If any provision of this Authorization & Waiver is held invalid or unenforceable by a court of competent jurisdiction, the remaining provisions will continue to be fully effective.

This Authorization & Waiver contains the entire agreement between the parties, and supersedes any prior written or oral agreements between them concerning the subject matter of this Authorization & Waiver.

Any claim or controversy that arises out of or relates to this Authorization & Waiver or the alleged breach of it, and that cannot be settled between the parties, will be settled by submission to the chapter of the American Arbitration association or similar group nearest to the location of the Tournament in accordance with its current rules an procedures.

 

 

Please Print:

Name of Child:

 

Address:

 

City

 

State

 

Zip Code

 

 

 

 

 

 

 

 

Medical conditions:

 

My child is subject to the above medical conditions/allergies which I authorize ASLC to disclose to a medical provider in the event My

Child requires emergency medical care.

 

I am of lawful age and legally competent to sign this Authorization & Waiver.  I understand the terms of this Authorization &

Waiver and I have willingly signed as my own free act.

 

Name :

 

Address:

 

City

 

State

 

Zip Code

 

Signature:

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

Name :

 

Address:

 

City

 

State

 

Zip Code

 

Signature:

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

              Please use this copy and make one copy for each team member to use.