Men's Basketball

The Official Site for NIACC Trojan Men's Basketball

Waiver Form

Please have each child participating in the tournament fill one of these out. Coach's please bring them all with you to the tournament if you haven't mailed them in prior to the tournament day!

WAIVER AND RELEASE OF ALL CLAIMS

NIACC  Boy's & Girl's Basketball Challenge

Please read this form carefully and be aware that in registering your child/ward for participation in the NIACC Boy's & Girl's Basketball Challenge, you will be waiving and releasing all claims for injuries you and/or your child/ward might sustain arising out of this program.

I understand that North Iowa Area Community College does not carry insurance for injuries sustained by participants in this event.  Therefore, participants in this event should look to their own health insurance policy for any injuries sustained in connection with or arising out of this event.  The absence of health insurance coverage does not make North Iowa Area Community College responsible for payment of medical expenses.

As a participant in the NIACC Boy's & Girl's Basketball Challenge, I agree to assume the full risk of any injuries, including death, damages or loss regardless of severity, which my child/ward or I may sustain as a result of participating in any and all activities connected with or associated with, or arising out of this event.

I agree to waive and relinquish all claims my child/ward or I may have as a result of participating in this league against North Iowa Area Community College and its directors, officers, trustees, agents, servants and employees.  I do hereby fully release and discharge North Iowa Area Community College and its directors, officers, trustees, agents, servants and employees from any and all claims from injuries, including death, damage or loss which my child/ward or I may have or which may accrue to me on account of my participation.

I further agree to indemnify and hold harmless and defend North Iowa Area Community College and its directors, officers, trustees, agents, servants and employees from any and all claims from injuries, including death, damages and losses sustained by me or my child/ward or arising out of, connected with, or in any way associated with the activities of this event.

PERMISSION TO SECURE TREATMENT

In the event of an emergency I authorize North Iowa Area Community College to secure treatment from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for my or my child's/ward's immediate care and I agree that I will be responsible for payment of any and all medical services required.

I have read and fully understand the aforementioned Program Details, Waiver and Release of All Claims and Permission to Secure Treatment, and all information supplied by me is accurate and current to the best of my knowledge.

Guardians Name (print):________________________                                                                        

Guardians Signature:                       ___________________________  Date:                                                           

Childs Name:                                                                           Relationship to child: