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OSBA JR DEVELOPMENT CAMP

CAMP - REGISTRATION FORM

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Basketball player's name
MM/DD/YYYY
Parent/Guardian's name
Address
Check all positions previously played
Waiver
WAIVER, RELEASE & INDEMNITY – RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS, PHOTO/VIDEO RELEASE & IDEMNITY

I hereby agree, in return for becoming a member of Niagara Prep Basketball (NPB) and as a member of the Ontario Scholastic Basketball Association (OSBA):

•TO RELEASE NPB/OSBA, event organization bodies, sanctioning bodies and NPB/OSBA sponsors and their respective directors, officers, employees, agents, volunteers, contractors, representatives, successors or assigns (collectively the “Releasees”) from any liability for any loss, damage, injury or expense (collectively “Loss”) that I may suffer as a result of my participation in and transportation to or from any NPB/OSBA program, due to any cause, including negligence or breach of contract;

•TO WAIVE ANY CLAIM that I have or may have against any or all of the Releasees regarding any matter, including without limitation, any claim arising out of any NPB/OSBA program;

•TO INDEMNIFY THE RELEASEES from any and all claims, actions or Loss resulting in any way from my participation or participation of the child named in this registration in any NPB/OSBA program;

•THIS DOCUMENT SHALL bind my heirs, executors, administrators, assigns and representatives and will have effect throughout my membership in the NPB/OSBA and, to the extent reasonably necessary to give it effect, thereafter;

•THAT I am (or the child named in the registration) physically fit to participate in any NPB/OSBA programs; I am a legal guardian or custodial parent of the child named in the registration.
•THAT NPB/OSBA is authorized to take photos/videos of the child registered at its programs for publicity and promotional purposes.

•I hereby acknowledge and agree that NPB/OSBA may use and disclose the information on this form to enable NPB/OSBA to provide membership benefits to all NPB/OSBA members.
I agree to pay the following charge:
E-Transfer Payment: payments@niagaraprepbasketball.com Password: NPB2024 | Credit Card - processing fees will be added.