Please print, read, sign, and bring to first day of camp. Campers will not be allowed to participate unless this form is presented/completed at camp.

_________________________________________________________________________

Montrose BASKETBALL CAMP WAIVER & RELEASE OF LIABILITY

Participant Name: ______________________________________
Date of Birth: ___________________
Parent/Guardian Name (if under 18): ________________________________
Address: __________________________________________________________
Phone Number: ___________________
Email: ______________________________________

I acknowledge that participation in a basketball camp involves inherent risks, including but not limited to falls, collisions, physical contact, and other injuries that may result from strenuous physical activity. I voluntarily assume all risks associated with participation. Initial here: ______ 

I certify that the participant is physically fit and able to participate in camp activities. In the event of injury or illness, I authorize camp staff to obtain necessary medical treatment. I understand that I am responsible for any medical expenses incurred. Initial here: ______ 

I, on behalf of myself and/or my child, hereby release, waive, and discharge the basketball camp, its directors, coaches, staff, volunteers, and affiliated organizations from any and all liability, claims, demands, or causes of action arising out of participation in the camp. Initial here: ______

The participant agrees to follow all camp rules and instructions. I understand that failure to comply may result in dismissal from the camp without refund. Initial here: ______

I grant permission for the camp to use photographs or videos of the participant for promotional purposes without compensation. Initial here: ________

Name: ______________________________________
Phone Number: ________________________________
Relationship: _________________________________

Insurance Provider: __________________________________
Policy Number: ______________________________________

I have read this waiver and fully understand its terms. I understand that I am giving up substantial rights by signing it and sign it voluntarily.

Participant Signature: ___________________________  Date: ____________

Parent/Guardian Signature (if under 18): ___________________________  Date: ____________

Camp Name: __________________________________________
Camp Dates: __________________________________________
Location: _____________________________________________