I authorize my child to participate in 360° Skills Academy’s summer basketball program, Asphalt Fundamentals and hereby certify that all of the information enclosed is accurate.
In consideration of my child being permitted to participate in any way in Asphalt Fundamentals, a program of 360° Skills Academy (legally known as 360 Skills Inc.), I, the minor’s parent and/or legal guardian, understand the nature of the activities and the minor’s experience and capabilities, and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activities.
I give authority to the program agency’s staff to obtain necessary emergency medical treatment for my child with the understanding that the family will be notified as soon as possible. I understand that every effort will be made to contact me before and after medical care is provided.
I hereby release, discharge, covenant not to sue, and agree to indemnify, and save and hold harmless 360° Skills Academy, and all sponsors, successors, and assigns from all liability claims, losses, demands or damages on the minor’s account caused or alleged to be caused in whole or in part by the negligence of the releasees, as well as from any litigation expenses, attorney fees, loss liability, damage or cost any may incur as the result of such claim.
Permission is also given by me to use photographs and video of my child, including voice, likeness, and image, in 360° Skills Academy brochures, digital media, and advertising materials. No other claims, promises, or agreements are binding unless specified in this enrollment form. I hereby release 360° Skills Academy, its sponsors, successors and assigns from all claims and liability relating to any claims based on rights of privacy or publicity.