Liability Waiver Form Jahe Basketball Camps Child Children

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Liability Waiver Form JAHE Basketball Camps
Child/Children participating:
Name:_______________________________________Birthdate:______________________
Name:_______________________________________Birthdate:______________________
Name:_______________________________________Birthdate:______________________
Name:_______________________________________Birthdate:______________________
Liability Waiver covers all JAHE basketball camps between: July 2013-Nov. 2013
To the best of my knowledge, my child/ren is/are in good physical condition and fully able to
participate in any JAHE sponsored Basketball camps. I am fully aware of the risks and hazards
connected with the participation in this event, including physical injury or even death, and
hereby elect to voluntarily participate in said event, knowing that the associated physical activity
may be hazardous to me and to my property. I VOLUNTARILY ASSUME FULL
RESPONSIBILITY FOR ANY RISKS OR LOSS, PROPERTY DAMAGE, OR PERSONAL
INJURY, INCLUDING DEATH, that may be sustained by me, or loss or damage to property
owned by me, as a result of participation in this course.
I hereby RELEASE, WAIVE, DISCHARGE, AND COVENEANT NOT TO SUE JAHE
and/or JAHE PATRIOTS from any and all liability, claims, demands, action and causes of
actions whatsoever arising of or related to any loss, damage or injury, including death, that may
be sustained by me, or to any property belonging to me, while participating in physical activity,
or while on or upon the premises where the event is being conducted.
It is my expressed intent that this release and hold harmless agreement shall bind the members of
my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am
deceased, and shall be deemed as a RELEASE, WAIVE, DISCHARGE, and CONVENTION
TO SUE the above named RELEASEES. I hereby further agree that this Waiver of Liability and
Hold Harmless Agreement shall be constructed in accordance with the laws of the Michigan.
In signing this release, I acknowledge and represent that I HAVE READ THE FORGOING
Waiver of Liability and Hold Harmless Agreement, UNDERSTAND IT AND SIGN IT
VOLUNTARILY as my own free act and deed; no oral representations, statements or
inducements, apart from the foregoing written agreements have been made and I EXECUTE
THIS RELEASE FOR FULL, ADEQUATE AND COMPLETE CONSIDERATION FULLY
INTENTING TO BE BOUND BY SAME.
Signature:__________________________________________________Date:_______________

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