Signup

Participant Information

Full Name: {name}
Date of Birth: {dob}
Address: {address}
Phone Number: {phone}

Emergency Contact Name: {contact_name}
Emergency Contact Relationship: {contact_relation}
Emergency Contact Phone: {contact_phone}

Medical Authorization & Emergency Treatment

I understand that participation in training sessions, camps, leagues, and basketball-related activities at TheCube Basketball, Inc. involves physical activity and inherent risks of injury.

In the event of an emergency, I authorize TheCube Basketball, Inc., its staff, coaches, and representatives to obtain necessary medical treatment if I cannot be reached. I understand and agree that I am financially responsible for any medical expenses incurred.

Assumption of Risk

I acknowledge that participation in basketball activities includes risks such as, but not limited to:

• Sprains

• Strains

• Fractures

• Concussions

• Physical contact injuries

• Falls

• Equipment-related injuries

• Other unforeseen injuries

I voluntarily assume all risks associated with participation.

Release & Waiver of Liability

I hereby release and hold harmless TheCube Basketball, Inc., its owners, employees, coaches, staff, and affiliates from any and all liability, claims, demands, or causes of action arising out of participation in any activities conducted by TheCube Basketball, Inc.

Acknowledgment

☐ I have read and understand this waiver.

☐ I agree to the terms and conditions outlined above.

☐ I certify that I (or my child) am physically able to participate.

Initials:

Signature:

Date: {sign_date}