Babson Men’s Basketball Elite Clinic Information Form Which of the following clinics would you like to register for? You are welcome to register for one clinic or both clinics. If you choose to register for both, please select each of them when checking out on the next page. August 9, 2024 September 28, 2024 About Player Player's Name * First Name Last Name Player's Birthday * MM DD YYYY Player's Email Player's Phone * (###) ### #### Player's Height * Player's Weight Jersey Size * Adult S Adult M Adult L Adult XL Adult XXL Position Grade as of Fall 2024 * 9th 10th 11th 12th High School * AAU/Club Team * Parent/Guardian Information Parent/Guardian Name * First Name Last Name Relationship to Player * Parent Legal Guardian Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact Emergency Contact Name * First Name Last Name Emergency Contact Email * Emergency Contact Phone * (###) ### #### Clinic Policies * Deposit/Tuition Information Cancellations prior to July 1st will receive an 80% refund. If you choose to cancel after July 1st, we are not able to offer a refund. Use of Photographs By signing the Release of Liability Form, you hereby authorize and give Coach B Basketball staff permission to take, use, publish, and reproduce photographs, videos, and other images of your child for the Coach B Basketball records, website, brochures, group photos, or other media. RELEASE, HOLD HARMLESS, COVENANT NOT TO SUE, ASSUMPTION OF RISK AND INDEMNIFICATION In consideration of my child’s participation in the Basketball events sponsored by Coach B Basketball LLC at Babson College, I do hereby agree as follows: Please read carefully. This is a release and waiver of important legal rights. Although reasonable precautions are taken to provide proper organization, instruction, and equipment for your Child’s participation in the Basketball Events at Babson College, there can be no guarantee of absolute safety against injury and accident. There are elements of risk in any sport or program involving physical exertion and risk taking (individually, an “Activity” and collectively, the “Activities”) and the use of any equipment in connection with the Activities. I, on behalf of myself and my Child, understand that my Child may be involved in Activities, including but not limited to, basketball, and/or other physical undertakings. I acknowledge that participation by my Child in any Activities is voluntary and that my Child may decline to participate in any Activities. ACKNOWLEDGMENT OF RISKS: I recognize that there is inherent danger in any Activities that involve physical exertion or risk taking; that although the program may not be strenuous, injuries or medical complications may occur; that certain foreseeable and unforeseeable events unique to each Activity can contribute to the unpredictability of the Activity; and that balance, physical coordination, and conditioning may affect the occurrence of accidents, falls, and injuries. EXPRESS ASSUMPTION OF RISK AND RESPONSIBILITY: In recognition of the inherent risks of the Activities in which my Child will be engaged, both seen and unforeseen, I confirm that my Child is capable of participating in the Activities and/ or using equipment in connection therewith. I assume full responsibility for personal injury, accidents or illnesses, including death to my Child, except to the extent caused by the negligence of the Coach B Basketball LLC staff, Babson College or anyone for whom it is legally responsible. I also assume responsibility for loss of or damage to my Child’s personal property. On behalf of myself and my Child, I assume the risk(s) of personal injury, accidents, and/or illnesses of all kinds and nature, including, but not limited to, cuts, wounds, scrapes, abrasions, and/or contusions, sprains, and/or death. AUTHORIZATION: I hereby authorize any medical treatment deemed necessary in the event of any injury to my Child while participating in the Activities. I have appropriate insurance or, in its absence, I agree to pay all costs of medical services and medical transport as may be incurred on behalf of my Child. RELEASE, HOLD HARMLESS AND COVENANT NOT TO SUE: In consideration of my Child’s participation in the Activities, I do hereby for myself, my Child and our respective administrators, executors, heirs, spouse, dependents, successors, and assigns, knowingly and intentionally release, forever discharge and covenant not to sue Coach B Basketball LLC staff or Babson College and its trustees, officers, agents, employees and volunteers (collectively, “College”) from and against any claims, demands, expenses, actions and causes of action of every name, type, and nature I or we now have or may ever have arising out of my Child’s participation in the Activities on the above dates and on any subsequent dates during which he or she participates in the Activities. AUTHORIZATION: I hereby authorize and give the Coach B Basketball LLC staff permission to take, use, publish, and reproduce photographs, videos, and other images of my Child for the basketball records, website, brochures, group photos, or other media. ACKNOWLEDGMENT: In signing this Agreement, I acknowledge and represent that I have fully reviewed it and understand what it means, and that I sign this document as my free act and deed. No oral representations, statements, or inducements, apart from the foregoing written statement, have been made. I further agree that this Agreement shall be construed in accordance with the laws of the Commonwealth of Massachusetts. If any of its terms or provisions shall be held illegal, unenforceable, or in conflict with any law, the validity of the remaining portions shall not be affected thereby to the fullest extent permitted by law. I further state that I agree that I, my child and our respective estates, heirs, administrators, personal representatives, and assigns shall be bound by the same. Agree Your information has been submitted and is secure with us. Thank you for choosing Coach B Basketball camp!