The document is an organization roster and waiver form for a basketball tournament hosted by Team Select. It contains:
1) Consent from the organization's representative for the organization and its members to participate in Team Select basketball activities and acknowledgement that the members are in good physical condition.
2) Permission for Team Select staff to provide medical care to members if needed and a waiver of liability for Team Select for any injuries incurred during the tournament or related activities.
3) Acknowledgement that any pre- or post-tournament activities are not affiliated with Team Select and they will not be liable for anything related to those activities.
4) Agreement for anyone associated with the organization to follow all facility conduct rules
Team select tournament organization roster & waiver non aau
1. “Organization Roster & Waiver Form”
I__________________________________hereby give my consent for
my organization________________________________________________
to participate in all Team Select basketball and extracurricular activities. I
declare that the members of my organization are in good physical condition.
I hereby give the staff of Team Select permission to render such medical
and hospital care as, in their judgment, may seem advisable for the members
of my organization. I also hereby state that the members of my organization
have adequate medical coverage and will not hold the staff, location of,
vendors of, or sponsorship of Team Select liable for any injuries incurred
during this tournament or any extracurricular activities given by Team
Select.
- In addition, I acknowledge that any activities or events that I or my
organization take part in on the way to or from the location of Team Select
Tournaments are not affiliated with Team Select Tournaments. I also
acknowledge that any after tournament activities mentioned at but not
located at the location of Team Select Tournaments are also not affiliated
with Team Select Tournaments; and I or we will not hold the staff, location
of, vedors of or sponsorship of Team Select liable in any way, shape or
form for what goes on before, at or after such activities.
- Also, anyone associated with the following organization (Including
Parents), agrees to follow all facility code of conduct rules. Failure to
follow code of conduct rules may result in removal from not only the gym
but facility premises.
Please fill out reverse side:
2. Team Roster
Team Name:_____________________________
Contact Phone:__________________________Age Group:____________B___G___
Players Name:
______________________________________________ __________________________________________
______________________________________________ __________________________________________
______________________________________________ __________________________________________
______________________________________________ __________________________________________
______________________________________________ __________________________________________
______________________________________________ __________________________________________
______________________________________________ __________________________________________
______________________________________________ ___________________________________________
______________________________________________ ___________________________________________
______________________________________________ ___________________________________________
______________________________________________ ___________________________________________
______________________________________________ ___________________________________________
______________________________________________ ___________________________________________
______________________________________________ ___________________________________________
______________________________________________ ___________________________________________
Coach’s Name:
_____________________________________________ ____________________________________________
_____________________________________________ ____________________________________________
Representative’s Signature:____________________________________________Date:__________________
“Striving For Excellence; On The Court, In The Class Room & In Life”