Medical Waiver

    * I, THE UNDERSIGNED, AS PARENT OR LEGAL GUARDIAN, DO HEREBY RELEASE AND FOREVER DISCHARGE AND HOLD HARMLESS , THE DEROSIER BASKETBALL ACADEMY, ITS OFFICERS/COACHES, AFFILIATED SCHOOLS, THEIR SUCCESSORS AND ASSIGNS, FOR ALL CLAIMS, DAMAGES, DEMANDS, ACTIONS, AND CAUSES OF THE ACTION AT LAW OR IN EQUITY, ARISING BY REASON OR IN A MANNER GROWING OUT OF PARTICIPATION IN THIS EVENT. I ALSO AGREE TO THE USE OF PHOTO’S AND VIDEO DURING TRAINING FOR ADVERTISING USE BY THE DEROSIER BASKETBALL ACADEMY. FURTHER, I UNDERSTAND THAT THE DEROSIER BASKETBALL ACADEMY DOES NOT PROVIDE ACCIDENTAL MEDICAL INSURANCE COVERAGE FOR THE PARTICIPANTS WHILE ENGAGING IN THE PROGRAM. SECURING APPROPRIATE MEDICAL COVERAGE IS THE RESPONSIBILITY OF THE PARTICIPANTS FAMILY.
    Note: Typing in your name authorizes the DeRosier Basketball Academy to use this as a valid digital signature!