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N  E  X  T    L  E  V  E  L    P L A Y E R   R E G I S T R A T I O N
Date of Birth

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As parent or guardian or player with legal responsibility for the Player listed above (the minor “Participant”), desire to have the Participant voluntarily participate in the Next Level Camp or Skills Training and in other such activities held in conjunction with or considered a part of such Camp (all collectively referred to herein as the Activities), realizing that injuries and accidents sometimes result. In consideration of the opportunity of Participant to participate in the Activities, I, on behalf of the Participant, the Participant’s parents and family, and all of the Participant’s agents, personal representatives, next of kin, heirs, successors and assigns, and/or any other person or entity affiliated therewith (the Waiving Parties), do hereby expressly and knowingly assume all risk of injury and do hereby expressly agree to forever discharge, release, defend, indemnify and hold harmless Walsh Jordan d/b/a Next Level Basketball, and its present and future officers, directors, partners, members, managers, employees, shareholders, stakeholders, agents, representatives, corporate affiliates, instructors, successors and assigns, other participants, owners and lessors of any premises used to conduct the Activities, (all collectively referred to herein as the Releasers) from and against all loss, liability, obligation, damage, cost, demand, suit, action, judgment or expense whatsoever (including reasonable attorneys fees and court costs), whether known or unknown, accrued or contingent, that the above noted Participant may have or contend to have on account of any injury, including permanent disability, death or damage to property, caused by or alleged to be caused in whole or in part as a result of participation in the Activities, including all claims arising out of negligence or gross negligence of Releasers. I further authorize Releasers to obtain emergency medical treatment for Participant, including, if necessary, surgical procedures, if Participant is injured while participating in the Activities and, after reasonable attempt under the circumstances, Releasers are unable to contact me. All Waiving Parties understand that Releasers may not be able to contact a parent or legal guardian under emergency circumstances. I hereby grant Next Level Basketball Camp or Skills Training full permission to use for publicity and advertising purposes, any photographs taken of the campers at the Camp or Training Sessions. With my signature below, I expressly declare that I have carefully read this WAIVER AND MEDICAL RELEASE and fully agree to its content and meaning. I have no knowledge of any physical impairment that would be affected by the Participant’s participation in the Activities other than those listed below:

By submitting to this form I declare that I have read this document completely and agree to the terms therein