Basketball

Registration Form

First Name

Last Name

Participant Name

Birthday

Phone Number

I, understand that by signing this waiver, all claims will be paid through my personal health insurance company according to their schedule of benefits. I also understand that it is the responsibility of the person or organization using the equipment at Richmond Elite Academy to ensure that all possible precautions are taken to avoid damage to the equipment.

The persons or organization renting the Richmond Elite Academy will be held responsible and liable for any and all damage or injury occurring.

LIABILITY DISCLAIMER

1) I/we agree to leave Richmond Elite Academy in clean condition for the time outlined in this agreement.

2) I/we assume all responsibility for injuries to persons or damages to property, and agree to release Richmond Elite Academy, Richmond Elite and Hanover County harmless for any and all claims, of whatsoever nature, that may arise while in the facility.

3) I/we are aware that while in Richmond Elite Academy, I am fully responsible for any injuries and will pay for any loss or damages that may occur. I have read the above agreement and fully understand and accept the conditions as mentioned above.

I agree to the terms & conditions

Thanks for registering. See you there!