Waiver-Release Form B


I am fully aware of the rules, risks and hazards connected with participating in the sports related activities associated with the North Ridge Basketball Academy (NRBA). I have been informed that I may be challenged to exert myself in an intense manner. I knowingly and voluntarily consent to participating in such potentially hazardous activities and assume the risk of any injuries, regardless of severity, and including death, that may incur resulting from such activities.

I verify that I have no physical disabilities, impairments, or chemical dependencies that might inhibit my participation in sports activities, that I have major medical health insurance coverage, and that I have recently been subject to a complete physical examination with satisfactory results suggesting no reason that I should not participate in the activities of the NRBA.

I hereby release, discharge and waive any and all responsibility to any and all staff, volunteers, board members, hosts and any other persons or entities that are affiliated with the NRBA against all claims of liability for any and all trauma, injury, damage, expense, handicap, disability including death, resulting from or attributable in whole or in part to my participation in NRBA activities. The NRBA was not asked to exercise any judgment for my ability or advisability of participating in activities related to the NRBA.

I agree to indemnify and hold harmless the NRBA, its officers, agents, staff, volunteers, representatives, related entities and hosts from and against all liability, claims, demands, actions, loss, costs, fees, and damage arising out of my participation in the activities of the NRBA.

This Informed Consent and Waiver agreement will be construed under and pursuant to the laws of the State of North Carolina.

I, the undersigned, am at least 18 years of age, am competent to sign this consent release, and have read and understood all the provisions contained herein.

CAUTION: READ BEFORE SIGNING

Leave this empty:

Signature arrow
Signature Certificate
Document name: Waiver-Release Form B
lock iconUnique Document ID: 5acef7fb3d3d4ee4e6630b98a93260094927c71d
Timestamp Audit
September 16, 2020 2:18 pm GMTWaiver-Release Form B Uploaded by NRBA NRBA - coachmiller@nrbasketballacademy.com IP 43.247.146.88