Name and Grade of Children Particpating
Waiver of Liability
I hereby assume all of the risks of participating in the Salem Hoops Project basketball clinics, Including by way of example and not limitation, any
risks that may arise from negligence or carelessness on the part of the persons or entities being released, from
dangerous or defective equipment or property owned, maintained or controlled by them, or because of their possible
liability without fault. I certify that my child(s) is physically fit and has not been advised to not participate by a qualified medical
professional. I certify that there are no health-related reasons or problems which preclude my child's participation in the clinics. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the Salem Hoops Project in which my chlid may participate and that it will govern my actions and responsibilities. In
consideration of my application and permitting my child(s) to participate in the clinics, I hereby take action for myself, my
executors, administrators, heirs, next of kin, and successors.
Any other information you would like us to know?
Thank you for signing up for the Spring program! Make sure you have REGISTERED your child with the Hoops Project at
salemhoopsproject.org/register . Feel free to contact me anytime at email@example.com if you have any questions or concerns.
We are a skill development program. We emphasize the fundamentals of individual skills at our clinics. I look forward to seeing you in the gym!
Grades K-5 @ 7:30-8:30
All clinics are at South Salem High School.