PLEASE READ CAREFULLY - THIS AGREEMENT AFFECTS IMPORTANT LEGAL RIGHTS
This Wavier, Indemnification, Release of Liability Agreement Authorization, Consent
for Medical Treatment, and Permission to Use Name and Likeness for Publicity
will be effective until December 31, 2018.
In consideration of being permitted to participate in any way, including travel to
and from related events
and activities of the Elite Basketball Exposure (EBE), Elite Basketball Events, I, for myself, my personal
representatives, heirs, executors, next of kin, and assigns, do hereby:
1) Acknowledge that I am familiar with the sport of Basketball and understand the rules
governing the sport of Basketball and the importance of following these rules.
2) Agree that before participating, I will inspect the facilities and the equipment to be
used, and if I believe anything is unsafe, I will immediately advise my coach
or supervisor of such condition(s) and refuse to participate.
3) Acknowledge and fully understand that I will be engaging in a contact sport that might
result in serious injury, including permanent disability or death, and severe
social and economic losses due to, not only my own actions, inaction or
negligence, but also to the action, inaction or negligence of others; the rules
of the sport of Basketball; or conditions of the premises or any equipment
used. Further, I acknowledge that there may be other risks not known to me or
not reasonably foreseeable at this time.
4) Knowing the risks involved in the sport of Basketball, I assume the risks and accept
personal responsibility for the damages following such injury, permanent
disability, or death. Further, I will not sue or make a claim against any of
the released parties listed in paragraph 5 (the “releases”) and I acknowledge
that the liability insurance obtained by Elite Basketball Exposure (EBE) and Elite Basketball Events do not
provide coverage for my personal injuries or losses.
5) Release, waive and discharge and covenant not to sue Elite Basketball Exposure (EBE), and Elite Basketball Events together
affiliated clubs, their respective administrators, directors, agents, coaches,
and other employees or volunteers of the organizations; event officials;
medical personnel; other participants, their parents, guardian(s), supervisors
and coaches; sponsoring agencies; sponsors; advertisers; and, if applicable,
owners, lessors, and lessees of premises used to conduct the event, all of whom
are hereinafter referred to as "releases", from any and all claims,
demands, losses, or damages on account of injury, including permanent
disability and death or damage to property, caused or alleged to be caused in
whole or in part by the negligence of the releases or otherwise to the fullest
extent permitted by California law.
6) Acknowledge that this waiver, indemnification and release of liability agreement
(“Agreement”) expressly include transportation to and from, or in connection
with any activity or event of Elite Basketball Exposure (EBE), Elite Basketball Events in any vehicle,
including transportation to and from medical treatment.
7) Understand and agree that by signing this waiver, indemnification and release of
liability, I am agreeing to release, indemnify the "releases”, described
in paragraph 5 above, and hold them harmless from any and all liability, or
costs, including but not limited to attorney fees, associated with or arising
from my participation.
8) Understand and agree that if I am signing this Agreement on behalf of my minor child, that
I will be giving up the same rights for said minor as I would be giving up if I
signed this document on my own behalf. I further agree that as a parent(s) or
legal guardian(s) of a minor participant under 18 years of age, that I will
instruct the minor participant to the above warnings and conditions and their
ramifications, and that I consent to the minor's participation.
9) Understand and agree that this agreement shall be governed by and construed in accordance
with the Laws of the State of California. All disputes and matters whatsoever
arising under, in connection with, or incident to this agreement shall be
litigated, if at all, in and before a court located in the State of California,
U.S.A. to the exclusion of any other State or Country.
I have read the above waiver, indemnification, and release of liability agreement, and understand
that I give up substantial rights by signing it and knowing this, sign it
voluntarily. I further agree that no oral representations, statements, or
inducements, apart from the above agreement have been made. I agree that this
agreement is intended to be as broad and inclusive as is permitted by law and
if any portion is held invalid, it is agreed that the balance shall,
notwithstanding, continue to have full force and effect. I agree to participate
knowing the risks and conditions involved and do so entirely upon my own free
will. I also acknowledge that if English is not my first language, that I have
sought out the assistance of someone competent to translate this form to me. My
signature below shall be a declaration that I have so read and understand this
Waiver, Indemnification, and Release of Liability Agreement.
A photocopy of this Waiver will have the same effect as the original. Signatures on Page 4.
Authorization and Consent for Medical Treatment
I/we the undersigned parent, parents or legal guardian of the above named minor, do
in the event of an injury, accident, or illness, Elite Basketball Exposure (EBE), Elite Basketball Events and
its coaches, team representatives, directors, officiers, agents, and assignees to seek and obtain care and medical treatment as shall be
necessary under the circumstances.
I/we hereby authorize and direct the above named to consent to any x-ray examination,
anesthetic, medical or surgical diagnosis, or treatment and hospital care which
is deemed advisable and rendered under the general or special supervision of
any member of the medical staff and emergency room staff licensed under the
provisions of the Medical Practice Act, of a dentist licensed under the
provisions of the Dental Practice Act, and on the staff of any general hospital
holding a current license to operate a hospital from the State Department of
Public Health or its equivalent. This authorization is effective whether such
diagnosis or treatment is rendered at the office of said physician or dentist,
at a hospital, or elsewhere.
It is understood that this authorization is given in advance of any specific
diagnosis, treatment or hospital care being required but is given to provide
authority and power on the part of my aforementioned agents to give specific consent
to any and all such diagnosis which in the exercise of his or her best judgment
may deem advisable. It is understood that effort shall be made to contact the
undersigned before rendering treatment to the patient, but that any of the
above treatment will not be withheld if the undersigned cannot be reached. I
also agree that this authorization to treat shall be valid in any state where
such treatment is rendered. I also agree that if English is not my first
language that I have sought out someone to translate this form to me and agree
that by my signature that I have read and understood the document.
PERMISSION – USE OF NAME AND LIKENESS FOR PUBLICITY AND DISPLAY
OF IMAGES ON THE ELITE BASKETBALL EXPOSURE (EBE) AND ELITE BASKETBALL EVENTS
WEBSITE AND OTHER MEDIA
voluntarily, and on my own accord in the Elite Basketball Exposure (EBE) tournament,
I hereby grant Elite Basketball Exposure (EBE), Elite Basketball Events, its agents and licensees, and other
authorized media including television, radio, and newspapers, unrestricted
1. Use and re-use my name, photograph, voice, likeness, and biographical information including the
use of such information or likeness on television and in any other media for
any purpose and for use in publicity and advertising in all media.
2. Use, encode, digitize, copy, edit, excerpt, transmit and display on videotape, digital video
stream, or any other media form, my participation;
3. Use and re-use my name, voice, photograph, likeness, biographic information, in connection with
the Elite Basketball Exposure (EBE) and Elite Basketball Events Website(s);
This permission shall
apply to all activities in which I participate as part of Elite Basketball Exposure
(EBE) Tournament including its extended or subsequent related activities.
I/we understand that the above information will be distributed to members of the public and media to:
publicize the activities of Elite Basketball Exposure (EBE) and Elite Basketball Events as well as the
performance of individual participants; promote Elite Basketball Exposure (EGE) and Elite Basketball Events as
an organization in the sports community; and communicate information to
participants and their families the success of Elite Basketball Exposure (EBE) and Elite Basketball Events.
I/we understand that the participants name and likeness may be included on the Elite Basketball Exposure
(EBE) and Elite Basketball Events website(s) and that performances may be webcast over the Internet to
interested persons of Elite Basketball Exposure (EBE), Elite Basketball Events and members of the public at
large, and may be videotaped and/or digitally captured for later webcast,
broadcast and/or transmission. This grant includes without limitation perpetual
rights for both internal use and for licensing, sale, or other transfer of the
videotapes or digital files to third parties, and includes transmission and
display over the Internet. This permission is irrevocable and royalty free and
I understand that Elite Basketball Exposure (EBE) and Elite Basketball Events will act in reliance on this
I/we are the parent/legal guardian of the participant and minor listed on Page One and have
the authority to make this agreement on behalf of the participant. A photocopy
of this Authorization will have the effect as the original.
WAIVER, INDEMNIFICATION, RELEASE OF LIABILITY AGREEMENT
AUTHORIZATION, CONSENT FOR MEDICAL TREATMENT, AND PERMISSION TO USE NAME AND
LIKENESS FOR PUBLICITY AND DISPLAY OF IMAGES ON THE ELITE BASKETBALL EXPOSURE (EBE) AND ELITE BASKETBALL EVENTS
WEBSITE AND OTHER MEDIA
Athletes and Coaches MUST be listed on this WAIVER, INDEMNIFICATION, AND
RELEASE OF LIABILITY AGREEMENT with official signatures before participation in