1. Name *

First Name

Last Name

Phone Number *

(###)

###

####

(Check One) *

Male

Female

7. Why are you joining HoopsLink? (Pick 2) *

To get in better physical condition

To play more quality competitive basketball

To meet people and make friends

To volunteer with HoopsLink Youth Outreach

I like HoopsLink's offerings better than my current workout regimen

I hereby waive, release and forever discharge HoopsLink, its members, directors, officers, employees, contractors, advisors and representatives from any liability to me, my personal representatives, estate, heirs, next of kin and assigns, for any and all claims and causes of action for loss of or damage to person or property and for any and all illness or injury to me, including, without limitation, my death, that may result from or occur during participation in games, sessions, events and/or other activities or programs conducted and/or organized by HoopsLink, including, but not limited to its use of equipment, whether caused by the negligence of HoopsLink, its members, directors, officers, employees, contractors, advisors or representatives or otherwise. I hereby declare that I have read, understand and agree to the contents of this Waiver in its entirety. I also understand that this Waiver is intended to be as broad and inclusive as permitted by the State of Illinois and agree that if any portion is held invalid, the remainder will continue in full force and effect. *

I acknowledge and agree to the HoopsLink Liability Waiver.

1. Name *

First Name

Last Name

Phone Number *

(###)

###

####

(Check One) *

Male

Female

7. Why are you joining HoopsLink? (Pick 2) *

To get in better physical condition

To play more quality competitive basketball

To meet people and make friends

To volunteer with HoopsLink Youth Outreach

I like HoopsLink's offerings better than my current workout regimen

I hereby waive, release and forever discharge HoopsLink, its members, directors, officers, employees, contractors, advisors and representatives from any liability to me, my personal representatives, estate, heirs, next of kin and assigns, for any and all claims and causes of action for loss of or damage to person or property and for any and all illness or injury to me, including, without limitation, my death, that may result from or occur during participation in games, sessions, events and/or other activities or programs conducted and/or organized by HoopsLink, including, but not limited to its use of equipment, whether caused by the negligence of HoopsLink, its members, directors, officers, employees, contractors, advisors or representatives or otherwise. I hereby declare that I have read, understand and agree to the contents of this Waiver in its entirety. I also understand that this Waiver is intended to be as broad and inclusive as permitted by the State of Illinois and agree that if any portion is held invalid, the remainder will continue in full force and effect. *

I acknowledge and agree to the HoopsLink Liability Waiver.