Liability Release, Assumption of Risk & Indemnity Agreement
SPORT PARTICIPANT RELEASE OF LIABILITY, WAIVER OF CLAIMS, EXPRESS ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT.
Please read and be certain you understand the implications of signing. Express assumption of risk associated with Coach Richardson's "Heart Epochs Sports, LLC", venue use and related activities. I do hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with the sport of basketball.
INHERENT HAZARDS AND RISKS INCLUDE BUT ARE NOT LIMITED TO: risk of injury from the activity and equipment utilized is significant including the potential for broken bones, severe injuries to the head, neck, and back or other bodily injury that may result in permanent disability and death. Possible equipment failure and or malfunctions or misuse of my own or others' equipment. Impact or collision with other athletes, spectators, facility employees, facility equipment and furniture, and pedestrians.
I UNDERSTAND THE DESCRIPTION OF THESE RISKS IS NOT COMPLETE AND UNKNOWN OR UNANTICIPATED RISKS MAY RESULT IN INJURY, ILLNESS, OR DEATH. In consideration for being permitted to participate in the above described activities and related activities, I hereby agree, acknowledge and appreciate that:
I HEREBY RELEASE HOLD HARMLESS WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH or loss or damage to person or property, WHETHER CAUSED BY NEGLIGENCE OR OTHERWISE, the following named persons or entities, herein referred to as releasee: Coach Richardson's "Heart Epochs Sports, LLC", Shane C. Richardson, and its' staff. To release the releasees, their officers, directors, employees, representatives, agents, and volunteers from liability and responsibility whatsoever and for any claims or causes of action that I, my estate, heirs, survivors, executors, or assigns may have for personal injury, property damage, or wrongful death arising from the above activities whether caused by active or passive negligence of the releases or otherwise.
By executing this document, I agree to hold the releases harmless and indemnify them in conjunction with any injury, disability, death, or lost or damaged to person or property that may occur as a result of my engaging in the above activity. By entering into this Agreement, I am not relying on any oral or written representation or statements made by the releases, other than what is set forth in this Agreement. This Agreement shall apply to any and all injury, disability, death, or lost or damaged to person or property occurring at any time the execution of this agreement. This release shall be binding to the fullest extent permitted by law. If any provisions of this release is found to be unenforceable, the remaining terms shall be enforceable. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, I FULLY UNDERSTAND ITS TERMS, I UNDERSTAND THAT I HAVE GIVEN UP LEGAL RIGHTS BY SIGNING IT AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENTS.
The participant authorizes any representative of Coach Richardson's "Heart Epochs Sports, LLC", Coaching Staff to have the participant treated in the case of a medical emergency during their participation in any of the programs or activities. Further, the participant and/or parent/ guardian agrees to pay all costs associated with medical care and transportation of the participant.
I have put in writing any medical/health problems of which the staff should be aware. If your child has any special needs, please let us know so the coaches can be more effective.
I've read the above and agree.
I authorize PAYPAL to charge my credit card. For accounting purposes, THE BASKETBALL PROGRAM UNDER THE UMBRELLA OF PAYPAL. Your credit card will be charged the Registration Fee of $65.00 and the required monthly fee for the chosen program on the day you register. All payments are required by the first class of every month. Cash payments are also accepted at the first class of the month.
Months with holidays will be pro-rated. Coach Richardson will email everyone before payment is due so you know the pro-rated amount.
I understand I must provide a 2-week (14-day notice) if we can no longer continue. Without providing a 14-day written notice to Coach Richardson, I understand that my card will be charged for the following month.
The written notification MUST be confirmed that it has been received by Coach Richardson. The written documentation can be provided in person where both parties sign, or by email. If using email, the written documentation is only valid if Mr. Richardson returns your email confirming that it has been received. This is important due to the fact that emails are sometimes lost in spam filters.
There is a one-time, annual registration fee of $65.00.
Once again, PLEASE NOTE THAT your Registration fee and Tuition for Heart Epochs Sports, LLC, will show up as PAYPAL when you check out as well as on your bank statement.