L.I.F.E CAMP BBALL - L.I.F.E SPORTS ACADEMY

L.I.F.E CAMP

Name

Address

Street Address

City

Country

Cell

Date of Birth

Age

School

Shirt Size

Camp Week Dates Multiple Weeks

Check ALL that apply.

Camp Individual Days

*Check ALL that apply.
This is for participants that will not participate for the full week

WAIVER FORM

WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT
In consideration for being permitted to utilize the facilities, services, and programs of the Like It R Love It, Inc for any purpose,
including but not limited to observation or use of facilities or equipment, or participation in any program affiliated with Like It R
Love It, Inc, without respect to location, the undersigned, for himself or herself and any personal representatives, heirs, and next
of kin, hereby acknowledges, agrees and represents that he or she has, or immediately upon entering or participating will inspect
and carefully consider such premises and facilities or the affiliated program. It is further warranted that such entry into Like It R
Love It, Inc for observation or use of any facilities or equipment or participation in such affiliated program constitutes an
acknowledgement that such premises and all facilities and equipment thereon and such affiliated programs have been inspected
and carefully considered and that the undersigned finds and accepts same as being safe and reasonably suited for the purpose of
such observation, use, or participation.
IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER WITH ANY AFFILIATES OF LIKE IT R LOVE IT
INC, FOR ANY PURPOSE, INCLUDING BUT NOT LIMITED TO OBSERVATION OR USE OF FACILITIES OR
EQUIPMENT, OR PARTICIPATION IN ANY PROGRAM AFFILIATED WITH LIKE IT R LOVE IT INC, WITHOUT
RESPECT TO LOCATION, THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING:
1) THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE LIKE IT R LOVE IT, INC, its
directors, officers, employees, and agents (hereinafter referred to as “releasees”) from all liability to the undersigned, his
personal representatives, assigns, heirs, and next of kin for any loss or damage, and any claim or demands therefore on
account of injury to the person or property or resulting in death of the undersigned, whether caused by the negligence of the
releasees or otherwise while the undersigned is in, upon, or about the premises or any facilities or equipment therein, or
participating in any program affiliated with Like It R Love It, Inc, without respect to location.
2) THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the releasees and each of them
from any loss, liability, damage, or cost they may incur due to the presence of the undersigned in, upon, or about Like It R Love
It, Inc premises or in any way observing or using any facilities or equipment of Like It R Love It, Inc or participating in any
program affiliated with Like It R Love It, Inc whether caused by the negligence of the releasees or otherwise.
3) THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH, OR PROPERTY
DAMAGE (ex: communicable diseases such as MRSA, influenza, and COVID-19) due to negligence of releasees or otherwise while in, about, or upon the premises of Like It R Love It, Inc and/or while
using the premises or any facilities or equipment thereon or participating in any program affiliated with Like It R Love It, Inc.
THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is
intended to be as broad and inclusive as is permitted by the law of the state of Florida and that if any portion thereof is held
invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
I HAVE READ THE ABOVE WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT:

MEDICAL/EMERGENCY CONTACT INFORMATION

As Parent and/or Guardian of the participant registering I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is also granted to the Organization, and its affiliates including Directors, Employees, Volunteers to provide the needed emergency treatment prior to the child’s admission to any medical facility.

Release authorized on the dates and/or duration of the registered season.

I hereby consent to all financial responsibility for treatment and care for my child.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Name

Cell

Relationship to Player

Insurance Carrier

Policy #

Does your child have any allergies?

*Please list them all so, we may make sure they have the best camp experience.

CANCELLATIONS

Any cancellations will be a fifty percent prorated refund only with a week notice. If your child does not show up on a day they are registered, we will attempt to contact you. There will be no refund on summer camp fees paid for any child with absences. However, you can discuss with the Program Director substituting another day as long as the absence is discussed at least a week in advance and there is availability. Credits or refunds are not given for missed days.

PARTICIPANT STANDARDS

The following Standards applies to all players involved in programs through L.I.F.E Sports Academy. Failure to abide by the standards will result in a breach of the Participant Standards.

• I will respect myself, staff, coaches, equipment and others when competing in the L.I.F.E Sports Academy Programs
• I will exhibit good sportsmanship when competing regardless of the outcome of the competition
• I will agree to let my coach resolve ALL differences with officials and/or referees
• I agree to dress properly keeping in mind specific rules regarding pants pulled up and jerseys tucked in
• I agree to model appropriate behavior and to be a role model for my teammates as well as for my opponents
• I agree to resolve all disagreements in a non-violent manner
• I agree to line up at the conclusion of each competition and greet my opponent regardless of the outcome
• I will not approach the scores table for any reason. If I have an issue I will contact the league coordinator.

By signature below, I acknowledge that the Participant Standards has been explained to me by my parent(s) and I agree to abide by these Standards without exception. Furthermore, I agree to represent myself, my team/program and L.I.F.E Basketball programs to the best of my ability.

PICK UP PROCEDURE

May you list individuals that are approved to pick up your child from camp.

List child pick up contacts below:

Please list full name as listed on drivers license and number.
Example:
Nick Stevens 772-584-4567

Parent Drivers License

Please attach a picture of your drivers license.

Date

Participant Signature

Full Name

Sign

Participant Signature

Full Name

Sign

Parent Signature

Full Name

Sign

Cost

Select

Quantity

Camp include shirt and snack. There will be opportunity to purchase lunch on select days. This will be available to parents at the beginning of the week.

Payment

Discount

Subtotal

Tax

Total USD

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