Loading...

ASSUMPTION OF RISKS, RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT (the “Agreement”)

1. I am the Parent/Guardian of the Participant and have full legal responsibility for the decisions of the Participant.  

2. For the purpose, and in consideration, of the Participant’s participation in the sport of basketball and related activities, including, without limitation, games, practices, try-outs, Free Play Time (as defined below) tournaments, lessons, house league, training, conditioning programs, boot camps, services provided and events sponsored or organized (collectively, the “Activities”) by Maple Bears Rep Basketball, Inc. and its officers, directors, agents, contractors, employees, coaches, instructors, trainers, volunteers, members and representatives (all hereafter collectively referred to as “Maple Basketball”), the undersigned being the Participant’s Parent/Guardian (the “Parent/Guardian”) acknowledges and agrees to the following terms outlined in this Agreement:  

3. Description of Risk:  

I understand and acknowledge that the Participant’s participation is subject to various risks, including without limitation:  

a. activities have foreseeable and unforeseeable inherent risks, hazards and dangers that no amount of care, caution or expertise can eliminate, including without limitation, the potential for serious bodily injury, permanent disability, paralysis and loss of life resulting from, but not limited to, the following: executing strenuous and demanding physical techniques, physical exertion, overexertion, stretching, dehydration, fatigue, cardiovascular workouts, rapid movements and stops, lack of fitness or conditioning, traumatic injury, bacterial infections, rashes, and the transmission of communicable diseases, including viruses of all kinds.  

b. Maple Basketball may promote or encourage individual training programs or home training which have similar foreseeable and unforeseeable risks to in-person Activities; b. Maple Basketball may promote or encourage individual training programs or home training which have similar foreseeable and unforeseeable risks to in-person Activities; 

c. Maple Basketball may be unaware of the Participant’s fitness or abilities, health and psychological conditions, may misjudge weather or environmental conditions, may give incomplete warnings or instructions, and the equipment being used might malfunction;  

d. contact with, basketballs, other equipment, poles, stands, nets, fences, or other persons, whether intentional or unintentional, is a common part of Activities, and may lead to serious bodily injury, including but not limited to concussions and/or other brain injury, or serious spinal injury, paralysis and loss of life.  

e. exposure to defective, dangerous or unsafe condition of the facilities; falls; collisions with objects, walls, equipment or persons; dangerous, unsafe, or irregular conditions on various types of surfaces.

f. travel to Activities within and outside of the Province of Ontario has inherit risks. Maple Basketball does not provide advice on the means of travel to Activities. All travel, and associated risks, are the sole responsibility of the Parent/Guardian.

g. Activities may take place at a location or locations other than normal course premises. Such other locations may expose the Participant to dangerous terrain and extreme changes in weather or temperatures, which may result in heatstroke, sunstroke, or hypothermia and, if applicable, remoteness of location can result in poor communications and inability to get rescue or medical assistance quickly or easily. In an unfamiliar location, the Participant may become lost, get off course or be separated from the rest of the party.  

I freely accept and fully assume all of the Participant’s risks, dangers and hazards and the possibility of the Participant’s personal injury, death, property damage, expense and other losses resulting there from or from acts or omissions, including negligence of Maple Basketball.  

4. Medical Matters: 

I confirm that Maple Basketball does not represent that any of its personnel has any level of medical training that would provide assistance to an injured person. Moreover, Maple Basketball does not maintain medical equipment or apparatus (including but not limited to Epi-pens) which could assist an injured or ill Participant. In the event that Maple Basketball is provided with any medical apparatus by or on behalf of a Participant, Maple Basketball makes no representation or warranty that any Maple Basketball personnel have the skill or training to operate such medical apparatus appropriately to assist any person or to prevent further injury. It is the Parent/Guardian’s sole responsibility to assess whether any Activities are too difficult for the Participant. By the Participant commencing the Activities, the Parent/Guardian acknowledge and accept the suitability and conditions of the Activities. If the Parent/Guardian observes any hazard or risks, the Parent/Guardian will remove the Participant from the Activities and bring this to the attention of Maple Basketball. The Parent/Guardian is solely responsible for the choice of any protective equipment for the Participant. No medical, health, travel or other forms of insurances are provided by Maple Basketball. The Parent/Guardian is solely responsible for any health, medical, dental or other insurance for the Participants.

5. Release of Liability, Waiver of Claims and Indemnity Agreement:  

IN CONSIDERATION OF MAPLE BASKETBALL ALLOWING THE PARTICIPANT’S PARTICIPATION IN THE ACTIVITIES, I AGREE: (I) I AM NOT RELYING ON ANY ORAL OR WRITTEN STATEMENTS MADE BY MAPLE BASKETBALL, WHETHER IN A BROCHURE OR ADVERTISEMENT OR IN INDIVIDUAL CONVERSATIONS, TO AGREE FOR THE PARTICIPANT TO BE INVOLVED IN THE ACTIVITIES; (II) TO WAIVE ANY AND ALL CLAIMS THAT I HAVE OR MAY HAVE IN THE FUTURE AGAINST MAPLE BASKETBALL AND TO RELEASE, HOLD HARMLESS AND INDEMNIFY MAPLE BASKETBALL FROM ANY AND ALL LIABILITY FROM ANY INJURY, LOSS, DAMAGE, COST, LIABILITY, OR EXPENSE THAT I OR THE PARTICIPANT MAY SUFFER AS A RESULT OF PARTICIPATION IN THE ACTIVITIES DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, ON THE PART OF MAPLE BASKETBALL; AND (III) TO RELEASE, INDEMNIFY AND HOLD HARMLESS ANY AFFILIATED MAPLE BASKETBALL COMPANY OR OTHER PERSON AFFILIATED WITH MAPLE BASKETBALL INCLUDING THOSE PERSONS WHICH OWN PROPERTY USED FOR ANY ACTIVITIES. I AGREE TO ASSUME FULL RESPONSIBILITY FOR ANY DAMAGE CAUSED BY THE PARTICIPANT TO ANY PERSON, PROPERTY, GYM, PREMISE OR EQUIPMENT. 

6. Photo and Video Release:  

I authorize Maple Basketball to use the name and/or any photograph(s) and/or videos that are taken of the Participant while participating in Activities for promotional materials, social media posts, media articles and other similar purposes.  

7. Player Dismissal and Release

Dismissal times from Activities will be communicated to Parent/Guardian by Maple Basketball in advance of the scheduled Activities. It is the responsibility of the Parent/Guardian to ensure that the Participant is picked up, or appropriate arrangements are made for the Participant to be picked-up, at the end of each Activity. The pickup location should be reached by the Parent/Guardian at least five (5) minutes prior to the conclusion of the scheduled Activity. On occasion, additional time will be provided at the conclusion of the Activity for free or structured play time (“Free Play Time”) after the Participant is dismissed. Parent/Guardian must be present for the duration of Free Play Time and is free to leave with the Participant at any time. Maple Basketball cannot guarantee supervision of the Participant during Free Play Time or any time after dismissal from the scheduled Activity and may not monitor the Participants leaving after the scheduled Activity. I hereby waive any claims and agree to release and indemnify and hold harmless, as further outlined in section 5 above, Maple Basketball from any and all liability for the health, safety and well-being of the Participant after dismissal from the scheduled Activity.

8. Parental Supervision Clause:

For all games and events held outside of the regularly scheduled weekly practices, it is mandatory that a parent or legal guardian accompanies their child. The accompanying parent or guardian shall assume full responsibility for the supervision and well-being of the child during these events. Maple Basketball shall not be held liable for any incidents or accidents that may occur during such events, and it is understood that the parent or guardian is solely responsible for ensuring the safety and conduct of their child.

9. Service Refusal

Maple Basketball retains the sole discretion to remove the Participant from any and all Activities or to refuse service to any individual or entity at any time, for any reason or no reason, without prior notice. In the event of removal from Activities, Maple Basketball shall refund any fees paid on a pro-rata basis based on the length of the applicable Activity.

10. Email Communication

I hereby grant authorization to Maple Basketball and its associates to send emails to the email address provided. These emails may be transmitted through the Mailchimp platform, which may employ tracking technologies like cookies, web beacons, or similar tracking and reporting technologies.

11.  Concussion Code of Conduct:

You acknowledge and agree to the following requirements regarding the review of Ontario's Concussion Awareness Resources and the Ontario Basketball Association's (OBA) Concussion Policy and Code of Conduct:

You are required to thoroughly review the Ontario's Concussion Awareness Resources. These resources encompass crucial information about concussion identification, prevention, and response. Access the resources at: https://basketball.on.ca/coaching/concussion-resources/.

It is also an obligation for you to meticulously review the OBA's Concussion Policy and Code of Conduct. You can find the detailed policy and code of conduct at: https://basketball.on.ca/about-us/policies-and-procedures/concussion-policy-code-of-conduct/.

Recognizing Concussions:

- I understand that a concussion is a brain injury that can have both short- and long-term effects.

- I acknowledge that a blow to my head, face, neck, or any forceful impact that causes my brain to move inside my skull may lead to a concussion.

- I recognize that concussions can occur without losing consciousness.

- I commit to recognizing and reporting possible concussion symptoms, including but not limited to the following:

 - Headache or pressure in the head

 - Dizziness or balance problems

 - Nausea or vomiting

 - Sensitivity to light or noise

 - Confusion or memory problems

 - Slurred speech

 - Fatigue or drowsiness

 - Changes in mood or behavior

Reporting and Seeking Help:

- If I suspect I have a concussion, I will immediately stop participating in further training, practice, or competition and inform an adult, such as a coach, team trainer, or parent/guardian.

- I will not hide concussion symptoms and will speak up for myself and others if I suspect someone else may have a concussion.

- Parents/guardians will also actively monitor their child for concussion symptoms and promptly report any concerns to coaches, team trainers, or other appropriate adults.

Medical Assessment and Recovery:

- If I have a suspected concussion, I understand that I will be removed from further sports participation until I undergo a medical assessment by a medical doctor or nurse practitioner.

- I will adhere to the guidance of healthcare professionals and medical doctors/nurse practitioners regarding my health and safety during my recovery process.

- I will not return to training, practice, or competition until I have received medical clearance from a healthcare professional.

Open Communication:

- I understand the importance of open communication about concussion incidents. If I am diagnosed with a concussion, I will inform all of my other coaches, teachers, and relevant sports organizations to support my recovery.

- Parents/guardians will communicate any pertinent information about their child's concussion incidents to the athlete's school and any other sports organizations where the child is registered.

12. General

The Parent/Guardian acknowledge that they have read this Agreement and understand it, that they have executed this Agreement voluntarily, and that this Agreement is to be binding upon themselves, the Participant, their heirs, their spouses, parents, guardians, next of kin, executors, assigns, administrators and legal or personal representatives. 

13. I, and the Participant, will comply with the rules of Maple Basketball and the facility being used for the Activities.  

14. The Province of Ontario shall be the governing law for the matters set out herein.  

15. This Agreement contains the entire understanding between the Parties relative to the matter hereof and supersedes all prior representations and agreements, if any, between Maple Basketball and the Parent/Guardian.

16. If any provision of this Agreement is declared invalid or unenforceable, then such provision shall be severed from this Agreement and construed to reflect the closest lawful interpretation of the parties’ original intent, and the remaining provisions of this Agreement shall remain valid, enforceable and binding/  

DATE: June 19, 2024







First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*

Middle Name

Last Name*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!