Liability Waiver

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IN CONSIDERATION of my minor child(ren) being allowed to participate in any way in the CINCINNATI PREMIER YOUTH BASKETBALL LEAGUE (“CPYBL”), and on behalf of my minor child(ren), the undersigned agrees and states as follows:

  1. I understand that even though CPYBL rules, equipment, training, and discipline are designed to avoid any injury, the risk of injury from activities involved in the CPYBL program is significant, including the potential for permanent paralysis and death.
  2. On behalf of my child(ren) and for myself, I knowingly and freely assume all such risks, arising out of, related to and resulting from participation in this program, both known and unknown, including but not limited to practices, tournaments and games or otherwise, even if arising from the negligence of the CPYBL, its officers, members, coaches, commissioners, officials, employees, volunteers, and others acting on the CPYBL’s behalf (collectively, the “Releasees”), and assume full responsibility for my child(ren)’s participation to the fullest extent of the law.
  3. I willingly agree to comply with the stated and customary terms and conditions of the CPYBL for the participation of my child(ren). If, however, I observe any risk of injury or death which is not inherent in the CPYBL program while my child(ren) participate(s) in the program, I will remove my child(ren) from participation immediately.
  4. I, for myself and on behalf of my child(ren), our heirs, assigns, representatives, and next of kin, hereby release and hold harmless the Releasees with respect to any and all injury, disability, death, loss or damage to person or property, arising out of, resulting from, related to, or connected with, in any manner whatsoever, directly or indirectly, the participation or involvement of my child(ren) in the CPYBL program.
  5. I hereby certify that, as the parent or guardian of my child(ren), I have legal responsibility for and authority to sign this Release and Waiver of Liability on behalf of my child(ren). I further certify that I have read this Release and Waiver in full, understand its terms, understand that substantial rights will be given up by signing it, and sign it voluntarily, without duress or coercion.

I acknowledge that participating in the sports of basketball and volleyball (the “Sports”) can be dangerous activities involving many risks of injury. I further acknowledge that Cincinnati Premier Youth Basketball League (the “CPYBL”) is a for-profit corporation formed to advance league play of the Sports, the efforts of which directly benefit me. In consideration of the acceptance of me by the CPYBL as a participant in a sports league release and forever discharge any and all liabilities, claims, losses, demands, costs, expenses, or rights of action, of whatever kind or nature, which I have or which may hereafter accrue to me against the CPYBL, the parish/school listed above, or their respective trustees, officers, employees, coaches, agents, administrators, members, sponsors, promoters or affiliates, arising from or by reason of any bodily or personal injury or property damage which may be sustained by me directly or indirectly in connection with my participation in any of the Sports during or following the above school year. I agree, for myself and successors, that this Agreement and Release of Liability contains the entire agreement between myself and the CPYBL and that the terms hereof are contractual and not a mere recital. I currently have no know physical or mental condition that would impair my capability for full participation as intended and expected of me.

I represent that I have adequate insurance to cover any injury or damage my child may suffer or cause while participating in a CPYBL activity, or else I agree to bear the costs of such injury or damage myself. I further represent that my child has no medical or physical condition which could interfere with his/her safety in this activity, or else I am willing to assume and bear the costs of – all risks that may be created, directly or indirectly, by any such condition.

PLEASE NOTE that you are submitting an electronic form. By checking the box below, you are also agreeing that by typing your name into the Parent or Guardian Name box below, that this constitutes a binding agreement and that all information provided in the form is correct.

please enter your name
please enter your email address
enter your cell OR home phone number in xxx-yyy-zzzz format
enter the name of the community organization your child is playing for this season
please enter the PLAYER FIRST NAME, not the parent first name
I, as a player that participates in the Cincinnati Premier Youth Basketball League, agree to Liability Waiver.
Format: 06/21/2018
please enter the date of birth for your player (THIS WILL BE MATCHED AGAINST THE ROSTER!)
please enter your player's current grade in school
please choose the district of the school your child attends (please note Catholic schools are lumped under Archdiocese of Cincinnati and there other schools listed under Charter Schools or Private Schools). If you don't see your school district choose "Other"
Please choose the school your child attends from the drop down list (choose other if not listed) (Please email the league at [email protected] if your school is not listed)
enter the name of the team your child is playing on (if the team is not yet registered, choose the "Unassigned" team for your organization ... i.e. Oak Hills Unassigned or Indian Hill Unassigned) YOU MUST CHOOSE A TEAM IF FILLING OUT A WAIVER FOR INDIAN HILL, OAK HILLS, OR WEST CLERMONT!
please choose the type of insurance you have for your player (e.g. commercial = Anthem, United Healthcare, etc ...; government = Medicare, Medicaid, or other government funded types of insurance; self-insured = something other than commercial or government)
indicate whether or not you need to fill out a liability waiver for another child
enter birth date in string format (i.e. mm/dd/yyyy)