4 Peaks Classic Tournament Team Registration Form

Unlocked Potential, LLC We Are An Arizona Limited Liability company---   ---WAIVER OF CLAIMS, LIABILITY RELEASE AND INDEMNITY AGREEMENT----   It is the intent of the undersigned Participant and Participant's parents or legal guardians to release Unlocked Potential LLC, its members and each of its respective affiliates, subsidiaries, officers, directors, agents, sponsors and coaches from any claims or liability to the fullest extent possible under the law and to that intent the undersigned hereby agrees as follows:   1.     I understand and acknowledge that the game of basketball is a contact sport that presents the inherent risk of serious bodily injury and my waiver and renunciation of claims in this Agreement expressly applies to any and all bodily injury and physical, mental and death and all other damages that may be suffered by the participant or others resulting from the participant's participation in the game of basketball in connection with the Tournament.   2.     I, as a parent or legal guardian of the participant identified below who is participating in the Tournament hereby waive and renounce any claims against Unlocked Potential Llc or any other person participating in the Tournament, including without limitation any claims based on negligence, for any injury to the Participant or others, damages, sickness, accident, delay or expenses of any kind whatsoever resulting from the Participant's participation in the Tournament.   3.     I understand and acknowledge that Unlocked Potential Llc does not guarantee the security or safety of Tournament sites, of the areas adjacent to and surrounding Tournament sites, or of any areas Participants may traverse on their way to or from Tournament sites. I release Unlocked Potential Llc from any and all claims arising out of accidents or events caused by Unlocked Potential Llc, a Participant or third parties not associated with the Tournament, which incidents could occur on Tournament sites, in areas adjacent to or surrounding Tournament sites, or in areas traversed by Participants traveling to Tournament sites.  I further release Unlocked Potential Llc from liability for any damage or injury that may occur as a result of the surface or condition of the Tournament site itself (e.g. basketball court), or the condition of facilities or equipment used at the site.   4.     I recognize that the Participant must obey the instructions of coaches, their assistants, and any Tournament staff and I have instructed the Participant to obey said coaches and other Tournament staff.         5.     I understand that, should any medical services be provided or made available to the Participant in connection with his/her participation in the Tournament, the provision or availability of which Unlocked Potential Llc does not sponsor or guarantee, Unlocked Potential Llc does not warrant or make any representation concerning the adequacy or continuation of such medical services, nor can Unlocked Potential Llc be deemed responsible or held liable for any claims arising out of the provision of such medical services or the failure to provide or to continue to provide such medical services.  I also will not hold Unlocked Potential Llc liable for any other services provided in connection with the Tournament, including without limitation any coaching, counseling, transportation or security services.    6.     This Waiver and Release is on behalf of myself, my spouse and my child.    7.     I indemnify and hold harmless Unlocked Potential Llc from any claims made or liabilities assessed against it as a result of all Participants, Participants’ parents and family.  
 8.     If any portion of this Waiver and Release is declared invalid or unenforceable by a final judgment of any court of competent jurisdiction, I hereby agree that such determinations shall not affect the balance of this Agreement, but this Agreement shall remain in full force and effect, as such invalid portion shall be deemed severable.   9.     My consideration for this Agreement is the allowance of Participant’s participation in the Tournament. 
  *Unlocked Potential