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I AM 18 YEARS OR OVER AND I AM EITHER THE PARTICIPANT OF OR THE LEGAL PARENT/GUARDIAN OF A CHILD PARTICIPATING IN A SHOT SCAN BASKETBALL TRAINING SESSION, LIVE GAME TOURNAMENT, CAMP, HOMESCHOOL LEAGUE OR OTHER SHOT SCAN BASKETBALL ATHLETIC EVENT.

I AM AWARE THAT THIS ACTIVITY IS POTENTIALLY STRENUOUS AND DANGEROUS AND THAT INJURIES SUCH AS, BUT NOT LIMITED TO, ANKLE SPRAINS, ACL TEARS, ACHILLES RUPTURES, BROKEN BONES, CONCUSSIONS, ETC. ARE A REGULAR AND REASONABLE RISK ASSOCIATED WITH THE SPORT OF BASKETBALL. I AM VOLUNTARILY PARTICIPATING IN THIS ACTIVITY OR ALLOWING MY MINOR TO PARTICIPATE IN THIS ACTIVITY WITH KNOWLEDGE OF THE RISKS INVOLVED, BOTH EXPECTED AND UNEXPECTED, AND HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF LOSS OR INJURY.

I WILL NOT HOLD SHOT SCAN BASKETBALL OR THE FACILITIES HOSTING SHOT SCAN BASKETBALL EVENTS LIABLE IN ANY WAY FOR ANY LOSS AND INJURY.

I Agree

First Participant's Name
First Name*
Last Name*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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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*
Phone*
Parent or Guardian's Date of Birth*
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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