MEMBERSHIP DECLARATION

TERMS AND CONDITIONS

OVERVIEW

In consideration of my minor child/ward being allowed to participate in this basketball camp program, I, the undersigned, acknowledge, appreciate, and agree that:

1. The risk of serious injury from the basketball activities involved in this program is always present due to the nature of the sport; and

2. For myself, spouse, and child I knowingly and freely assume all such risks and medical costs associated my child’s participation;

3. I, for myself, and on behalf of my heirs, assigns, and next of kin, hereby release, indemnify, and hold harmless Gaston County Skills Academy, its officers, officials and/or employees, other participants, sponsors, and lessors of camp facilities, for injury, disability, death, or loss or damage to person or property resulting or arising from my child’s activities while attending Gaston County Skills Academy programs.

HEALTH RELEASE

I hereby certify that the camper named in this application is in good health and fully able to participate in all activities of the academy. Furthermore I give permission for this camper to receive emergency medical treatment if necessary. I understand that every attempt will be made to contact me, or the emergency contact named in this application, before taking this action. I will be financially responsible for any medical attention needed during camp or resulting from an injury received at camp. My medical insurance shall be the coverage for any medical treatment.

PHOTOGRAPHY RELEASE

I agree that Gaston County Skills Academy has the right to photograph or video my dependent and use the photo and/or other digital reproduction of him/her or other reproduction of his/her physical likeness for publication processes, whether electronic, print, digital or electronic publishing via the Internet.

Gaston County Skills Academy | gcsabasketball.com | 2022