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NORTH POLE HOOPS 

AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY

In consideration of being allowed to participate in any way in North Pole Hoop’s athletic/sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS North Pole Hoops, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

5. I consent to the use of my image(s) or likeness of my image(s) and am aware that I may be recorded in one of the following formats: film, video, digital photo and/or print. I consent to this recording and am aware that my image may be distributed locally and/or internationally upon completion. I understand the producers have a duty and responsibility to uphold a positive image of North Pole Hoops and its affiliates, associates and internal partners. I hereby give and grant North Pole Hoops, its clients, agents and vendors the absolute and unconditional right to use, publish, display, and/or reproduce in any manner, video/photographs in connection with educational, recruitment, admission or trade materials.

6. I hereby waive any right to inspect and approve the finished video/photographers or the manner in which any of the same are used, reproduced, published or displayed.

7. I further release North Pole Hoops, its clients, agent or vendors from any liability whatsoever that may occur or be produced in the taking, reproducing, publishing, showing, or displaying of said video/photographs, and agree that North Pole Hoops shall be the owner/photographs, all rights to them, may copyright the video/photographs in its own name, and may grant to others permission to use them.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Today's Date: February 1, 2025 

First Player's Name

First Name*

Middle Name

Last Name*

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First Player's Date of Birth*
First Player's Division / Grade

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First Player's Signature*
Second Player's Name

First Name*

Middle Name

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Phone*
Second Player's Date of Birth*
Second Player's Division / Grade

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Third Player's Name

First Name*

Middle Name

Last Name*

Phone*
Third Player's Date of Birth*
Third Player's Division / Grade

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Fourth Player's Name

First Name*

Middle Name

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Phone*
Fourth Player's Date of Birth*
Fourth Player's Division / Grade

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Fifth Player's Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Player's Date of Birth*
Fifth Player's Division / Grade

Team Name

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Sixth Player's Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Player's Date of Birth*
Sixth Player's Division / Grade

Team Name

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Seventh Player's Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Player's Date of Birth*
Seventh Player's Division / Grade

Team Name

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Eighth Player's Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Player's Date of Birth*
Eighth Player's Division / Grade

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Ninth Player's Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Player's Date of Birth*
Ninth Player's Division / Grade

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Tenth Player's Name

First Name*

Middle Name

Last Name*

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Tenth Player's Date of Birth*
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Parent or Guardian's Email Address

Email*

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Promotion and Marketing
Marketing & Promotion Material Consent
I consent to receive marketing and promotional material from North Pole Hoops by email or phone contact(s) provided and I may withdraw consent to receive this material at any time by contacting North Pole Hoops in writing
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided 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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Division / Grade

Team Name

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Enter Team Name *
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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