Basketball Waiver Name* First Last Phone*Email* Enter Email Confirm Email Please list the names, ages, and relationships of those who are planning to attend with you.NameAgeRelationship How did you hear about us? Friend or family member Another organization Online search Social Media Waiver and ConsentI, the undersigned, will be participating in Recreational Basketball, (hereafter the “activity”) sponsored by Life Church Auburn Hills, Inc. I understand and confirm that my participation in the activity is voluntary. I confirm and represent that I am over the age of 18, or if I am not, that my parent or guardian has signed for me. I recognize that there are risks involved in participating in this activity and hereby assume all risks, unknown or known, foreseeable or unforeseeable, of injury, harm, damage, or death in connection with my participation in this activity. I understand and agree that neither Life Church Auburn Hills, Inc., nor its trustees, officers, directors, employees, agents, partners (facility rentals), or representatives may be held liable in any way for any injury, harm, damage, or death that may occur to me as a result of my participation in this activity and hereby release Life Church Auburn Hills, Inc., its trustees, officers, directors, employees, agents and representatives from any and all liability for, and waive any claim for, any personal injury, harm, death, economic or noneconomic damages or loss, including attorneys’ fees, in any way connected with my participation in the activity including transportation to an from the activity, even if caused by the negligent acts or omissions or other misconduct of Life Church Auburn Hills, Inc. or any of its trustees, officers, directors, employees, agents and representatives. I accept personal responsibility for any liability, personal injury, economic or noneconomic damages or loss connected with my participation in the activity. To the fullest extent permitted by law, I agree to indemnify, save and hold harmless (i.e., to reimburse and be responsible for) Life Church Auburn Hills, Inc., its trustees, officers, directors, employees, agents and representatives from any claim by myself, my estate, heirs, successors, assigns or other persons arising out of my participation in the activity. This waiver shall be binding upon my relatives, personal representatives, heirs, beneficiaries, next of kin, or assigns. I authorize Life Church Auburn Hills, Inc. through its trustees, officers, directors, employees, agents or representatives to render or obtain such emergency medical care or treatment for me as may be necessary should any injury, harm or accident occur to me while participating in this activity. I understand and acknowledge that Life Church Auburn Hills, Inc. does not provide health or medical insurance in connection with the activity and I agree that I will be financially responsible for any bills incurred as a result of medical treatment, including emergency medical treatment and/or transportation to a medical facility, in connection with my participation in the activity. This instrument shall be governed, construed, and enforced in accordance with the law of the State of Michigan.* THIS IS A RELEASE OF LIABILITY AND WAIVER. I HAVE READ THIS RELEASE OF LIABILITY, WAIVER, INDEMNIFICATION, AND CONSENT. I UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS BY SIGNING IT. BY CHECKING THIS BOX, I AM SIGNING THIS RELEASE OF LIABILITY, WAIVER, INDEMNIFICATION, AND CONSENT VOLUNTARILY. NameThis field is for validation purposes and should be left unchanged. Δ
