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SINGLETON
BASKETBALL
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WAIVER & RELEASE FORM
Athlete Name
Date of Birth
*
required
Athlete 2 Name (if applicable)
Date of Birth
Athlete 3 Name (if applicable)
Date of Birth
Email
Phone
I am in agreeance and understand that by allowing my athlete/s to participate in all the activities offered with The Squad and Singleton Basketball that there may be risks and injuries involved.
I agree to release The Squad Basketball Teams, Singleton Basketball, James & Amanda Singleton, all their staff as well as any facility a game, practice or skills are held in from ALL claims, damages and actions of the above-named participant/s or their parent/guardian.
I assume full responsibility for any bodily injury that may occur as a result of the inherent risk of these activities. I also understand that any participant who causes damages or intentional injury will be suspended from the program without refund.
I authorize The Squad Teams and Singleton Basketball to use all photos and/or videos taken of me/my child during any/all programs for advertising or promotional material. I have read these terms and conditions and I agree to them in their entirety.
Please specify anything we should know about
Parent / Guardian Name
Initials
Your Signature
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