Waiver of Liabilty *
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.
Please let us know if there are any special needs or requirements we should be aware of for your child.