UNZIP YOUR GAME LIABILITY RELEASE Terms & Conditions/Liability Release - IMPORTANT PLEASE READ Unzip Your Game Basketball Camp Waiver, Release & Liability Statement I, the parent/legal guardian of the above named minor, authorize the full participation in the Unzip Your Game Basketball Camp, including all related camp activities. It is my understanding that the voluntary participation in the activities at the Unzip Your Game Basketball Camp is not without inherent risk of injury. In consideration of the minor's participation in the Unzip Your Game Basketball Camp, I hereby release, waive, and discharge Unzip Your Game Basketball Camp, its owners, staff, consultants, and volunteers, Church of St John the Divine, its directors, officers, employees, members, staff, contractors and volunteers from any and all liability, claims, demands, action, and clauses of action whatsoever arising out of or related to any loss, damage, injury, including death, that may be sustained by said minor, whether caused by the negligence of the release, or otherwise while participating in such activity, or in, on or upon the premises where the activity is taking place. I understand that if my child requires medical treatment while participating in the camp, an attempt will be made to notify me. In the event that I cannot be reached, I consent to such treatment for my child as may be deemed necessary under the circumstances, including, but not limited to x-ray examinations, surgery and anesthesia. I hereby give permission for any emergency treatment or medical care by a physician, hospital or medical facility that may be required, including transport during the camp that the minor is in attendance. I will be responsible for all cost of medical attention provided. By attending Unzip Your Game Basketball Camp, I hereby grant permission to Unzip Your Game Basketball Camp to use my child's photograph online and/or in any publications related to the camp and its promotion. I also acknowledge that though my child's photo may not be used at this time, it may be used at the organization's discretion at a later date.

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