Next Up, Premier Tournament league
555 Park Avenue South, New York, NY 11101
Telephone Number (917) 412-5441 – Fax Number (718) 618-7674
Waiver, Release of Liability, Indemnification and Consent For
BASKETBALL – PLAYER WAIVER FORM
2014 Spring SEASON
TEAM NAME_____________________________________________________
PLAYER’S NAME_________________________________________________
ADDRESS______________________________________________________
Street City Zip
HOME PHONE_______________ OTHER PHONE_____________________
**I, the undersigned, player, acknowledge, agree and understand that:
**I understand that there are certain risks of damages and injuries, including death, inherent in the practice and play of basketball, as well as in traveling in other related activities incidental to me, and I am willing to assume these risks. These risks include but are not limited to those hazards associated with weather conditions, travel, playing conditions, equipment and other participants.
**I understand that the very nature of the game of basketball is hazardous and risky, including but not limited to, the acts of running, jumping, stretching, sliding, diving, and collisions with other players and with stationary objects, all of which can cause serious injury or death to me and to other players.
** I certify that I am physically fit, have sufficiently trained for participation in this event, and have not been advised otherwise by a qualified medical person.
**Further, I agree that in consideration for the right to allow me as a member of the team designated below and in consideration for permission to play at the sites arranged for by the team or league:
1. I do voluntarily elect to accept and solely assume all risks of injury incurred or suffered (a) while practicing or playing as a member of the team so designated, (b) while serving in a non-playing capacity as a team member or observer during practice or play by other teams or by other players on my team, and (c) while on or upon the premises of any and all of the fields arranged for by my team or league for practice or play.
2. In addition to giving my full consent for participation, I do hereby waive, release, discharge and agree not to sue the team and league designated below, the owner or operator of any sites or other entity designated below, Next Up, its Parks and Recreation Department and elected officials, employees and volunteers or any person or entity connected with the team, league for any claim, damages, costs including attorneys fees, or cause of action which I may have in the future as a result of damages, injuries, including death, sustained or incurred by my participation from whatever cause including but not limited to the negligence, breach of contract or wrongful conduct of the parties hereby released.
**I hereby certify that I am fully capable of participating in the designated sport and that I am healthy and have no physical or mental disabilities or infirmities that would restrict full participation in these activities.
**I further agree on behalf of myself listed below, that I shall hold harmless and fully indemnify the parties hereby released from any and all claims, damages, costs including attorney fees, and causes of action which may arise from any cause of action made by me , even if the damages, injuries or death are caused in whole or in part by any of the persons or entities hereby released.
I ACKNOWLEDGE THAT I HAVE READ AND THAT I UNDERSTAND EACH AND EVERY ONE OF THE ABOVE PROVOISIONS IN THIS WAIVER, RELEASE OF LIABILITY AND INDEMNIFICATION AGREEMENT AND AGREE TO ABIDE BY THEM.
________________
NAME (Please Print)
________________ ____________________
SIGNATURE DATE
________________________________________________________
Please electronically fill out the above link and email it to us @
register@NextUp.com along with your registration payment.
Registration Payment:
$200/team + $50/team for annual reservation fee.
Please send the full amount to PayPal ready account: NextUp
Registrations will NOT be accepted without the proper Waiver Forms
nor the payment!
We need a Waiver for EACH player on the team!
Any questions, please contact our admin office @
info@NextUp.com