Assumption of Risk/Liability Release

I hereby authorize the staff of the Ichiban Skills Training/ Eugene Watts to act for me, according to their best judgment, in any emergency requiring medical attention during the “Annual Holiday Hoop Camp”, and hereby waive and release the directors/workers or anyone associated with the Ichiban Skills Training/Eugene Watts/AISD/Barnett Jr. High School from any liability for any injuries or illnesses incurred while at any Ichiban Skills Training/Eugene Watts event.

          I have no knowledge of any medical problem or physical impairment that would be affected by participation. The Ichiban Skills Training/Eugene Watts or the nearest medical facility is hereby authorized to render primary care.  Assumption of Risk/Release from Liability

          It is further understood that Ichiban Skills Training/Eugene Watts/AISD/Barnett Jr. High School does not provide medical insurance covering injuries of any nature incurred at any Ichiban Skills Training/Eugene Watts function. The undersigned hereby releases Ichiban Skills Training/Eugene Watts/AISD/Barnett Jr. High School its successors, assigns, officers, agents, and employees, from any and all claims, demands, and causes of action whatsoever in any way growing out of or resulting from participation in Ichiban Skills Training/Eugene Watts functions.

Participant’s Name:______________________________________________

Participant

Signature:___________________________________________

Participant Parents/Guardian’s

Signature:_____________________________

Date:____________________