FBBA
Free Camp
HARMONY SCHOOL OF INNOVATION
13738 OLD RICHMOND RD
SUGAR LAND,TX 77498
May 30th
Participant Medical Information
Parent / Guardian 1 Information
Parent / Guardian 2 Information
Waiver
WAIVER OF LIABILITY RELEASE FORM
I am aware of the activity involved and give permission for the above child(ren) to participate and to be photographed for publicity purposes. I understand that this completed form must be in the possession of the FORT BEND BASKETBALL ASSOCIATION prior to participation in this program. I do hereby waive, release and agree to hold harmless Missouri City Rec & Tennis Center or Faith Lutheran Church the league organization, league players, the organizers, sponsors, supervisors, coaches and participants for any claim arising out of injury as a result of participation. I also grant permission to managing personnel or other league representatives; to authorize and obtain medical care from any licensed physician, hospital or medical clinic should the player become ill or injured while neither parent nor guardian is available.
I have carefully read this agreement waiver and release and fully understand its content. I am aware that this is a release of liability and a contract between the above entities and myself and I sign it of my free will.
Would you like to make a donation to provide a scholarship for a needy child?
