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Participation Agreement


Definitions

Participant means any person on whose behalf YOU are signing this form for.

MPOWR Culture means directors, employees, representatives, volunteers, or affiliates of MPOWR Culture

Terms of Service

Basketball programs last anywhere from 8-12 weeks. When joining a program, you may enroll in a pricing plan of 3-4 payments. Pricing plans show up as a subscription and allow you to register for certain classes. Because pricing plans are significantly discounted from the daily drop-in rate, your subscription cannot be cancelled once activated. You will not receive credits for missed classes. You are financially responsible for the cost of the basketball program once you enroll, regardless of how often your athlete participates.

Participants cannot move to an advanced class without consent from the trainer/ director and not until the current program is complete. Classes are based on skill level more than age. Although athletes may qualify by age for a specific class, they may not meet the skill requirement.

Active MPOWR Culture memberships grant you access to exclusive discounts for other programs such as basketball camps and future enrollment. 

Release of Liability

I understand there is a natural risk of injury, whether caused by the participant or someone else. Despite precautions, accidents and injuries may occur. I understand that the risk of injury includes, but is not limited to:

1. Any accidental or "slip and fall" injuries; and

2. Injuries or medical disorders (such as heart attacks, strokes, heart stress, head injuries, sprains, cuts, bruises, broken bones and torn muscles or ligaments) resulting from Participant's use of equipment or services at MPOWR Culture location, or the Participant’s participation in any MPOWR Culture activities. I understand and voluntarily accept this and all risk on behalf of Participant.

I specifically waive my right and/or Participant’s right to bring or take any action against MPOWR Culture as a result of any injury, loss, theft, or damage to myself and/or Participant, including and without limitation, personal bodily or internal injury, economic loss or any other type of damage, regardless of whether resulting from Our negligence or anyone else.

I agree to defend, indemnify, and hold MPOWR Culture harmless against any claims arising out of the negligence or willful acts or omissions of myself or Participant. I agree to specifically assume all risk of loss, theft or damage of personal property for the Participant while he or she is present at MPOWR Culture location, or participating in any MPOWR Culture related activity.

I specifically acknowledge that, if I am not a parent or legal guardian of the Participant, I have discussed the terms of this Agreement with the Participant’s parent or legal guardian and have been given the authority by the Participant’s parent or legal guardian to sign this Agreement on the Participant’s behalf. Furthermore, I agree to obey the class and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by MPOWR Culture.

I approve the use of any pictures that may be taken at MPOWR Culture location, in which the Participant is part of, to be used on any MPOWR Culture website, social, or print media, and marketing advertisements.

December 4, 2024

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*

Emergency Contact's Relation to Participant
Parent or Guardian's Email Address

Email*
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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