I am aware of the nature of this activity, and I hereby assume responsibility for the above-named Player/Participant, To participate and to be photographed for publicity purposes. I will not hold Flawless Hoops and/ or its employees or St. Elizabeth Ann Seton School responsible in the case of any accident or injury as a result of this participation. I understand that even when every reasonable precaution is taken, an accident can and will sometimes happen. Due to the strenuous nature of basketball, the player and their parents are advised to consult their physician concerning the player’s fitness to participate. Basketball presents certain inherent risk and hazards, which the player and parents are urged to consider and which the player assumes the outcomes of such risks. I hereby approve of the participation of the above-named player, and in the case of an emergency consent to the emergency medical treatment for the player on my behalf.

I understand that this completed form must be given to Flawless Hoops prior to participation.