| CONSENT TO USE NAME AND PHOTOGRAPH
By signing below, applicant, parent, or guardian hereby gives permission to the above-named individual to participate in activities with HARTFORD KNIGHTS YOUTH BASKETBALL ORGANIZATION. Further, in consideration of the privilege to participate, applicant and parent/guardian by signing below hereby gives consent to use at the discretion of HARTFORD KNIGHTS YOUTH BASKETBALL ORGANIZATION all media, or photo’s taken of the above named applicant in connection with HARTFORD KNIGHTS YOUTH BASKETBALL ORGANIZATION together with such applicant’s name.
RELEASE FROM LIABILITY
I, the undersigned, hereby release HARTFORD KNIGHTS YOUTH BASKETBALL ORGANIZATION and all persons associated with this basketball event in any capacity, from any liability due to injuries, etc... that may incur as a result of my attendance and/or participation at the above specified event.
Further, in consideration of the privilege to participate, applicant, parent, or guardian hereby for ourselves, our heirs, executors and administrations release HARTFORD KNIGHTS YOUTH BASKETBALL ORGANIZATION and it’s agents, employee’s representative, and assigns from any and all liability, loss, damages, cost, claims, and/or causes of action, including, but not limited to, bodily injury, including transportation to or from activities, that either of us may have arriving out of the above-named applicant in the HARTFORD KNIGHTS YOUTH BASKETBALL ORGANIZATION.
I have read, understand and agree to abide by the rules associated with this event and assume all responsibility and any associated liability for infringement of such rules. Additionally, I am fully aware of my personal medical condition and hereby certify that I am mentally and physically fit to compete at said HARTFORD KNIGHTS YOUTH BASKETBALL ORGANIZATION EVENTS.
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