DT Academy

Wavier: By Checking the Box you agree Select all that apply BRANCH RELEASE/WAIVER FOR Double Trouble Training. I the parent/person legal custody/guardianship of the above said minor, give permission for the minor to participate in all activities be (Double Trouble Training ). The minor is physically able and mentally prepares to participate in all activities related to physical fitness and basketball training. In consideration of said minor being permitted to enter any branch of Y. 1. Acknowledge that (i) I have read this document, (ii) I have inspected the program, (iii)I accept them as being safe and reasonably suited for the purposes intended, and (iv) I voluntarily sign this document. 2. Release the Double Trouble , its faculties, officers, employees, affiliates, and volunteers(collectively “Releases”) from all liability to me for any loss or damage to property or injury or death to a person, whether causes by Releases or otherwise; 3. I agree not to sue Releases for any loss, damage, injury or death described above and I will indemnify and hold harmless Releases and each of them from any loss, liability, damage or cost they may incur due to said minor’s presence in, upon or near Double Trouble; whether cause by the negligence of Releases or otherwise. 4.I assume full responsibility for, and risk of, bodily injury, death or property damage due to the negligence of Releases or otherwise. 5. I do hereby authorize the Double Trouble as agent for the undersigned, to consent with respect to said minor, to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under general or special supervision of, any physician and surgeon licensed under the provisions of the Georgia Medical Practice Act on the medical staff of any hospital, whether such diagnosis or treatment is rendered at the office of the physician or at the hospital. I understand that Double Trouble is not responsible for costs incurred for medical care. 6. Double Trouble may use my child’s photos/images/likeness for promotional purposes. I intend this document to be as broad and inclusive as is permitted by the laws of the State of Georgia; if any portion hereof is invalid, I agree the balance shall continue in full legal force and effect.

DT Academy- August 30th & 31st