WAIVER OF LIABILITY 

In consideration of my participation in the Filipino American Committee Athletic Association’s     (F.A.C.A.A.) basketball clinic & any related activities,  I, the undersigned &/or my family, heirs, guardians, administrators, representative and assignees do hereby forever release the Officers, Members & Volunteers of F.A.C.A.A. and any other volunteer groups &/or Associations from any liability including claims for personal injury, first aid &/or medical &/or hospitalization expenses, loss & damage to personal property.

In the event of an injury, I do hereby give my permission & consent to authorize first aid and/or medical and/or hospital care or treatment as deemed appropriate.

I have read and fully understand this waiver and agree to comply with the rules and regulations of the tournament.  Any violations could disqualify my participation in the league.  The FACAA Committee has the final decision on all league matters.

 First Name_______________ Middle Name_____________Last Name___ ______________________

Date of Birth _______________________ Place of Birth _____________________________________

Street Address___________________City_________________ State_______ Zip ________________

Telephone Number ____________________ Email _________________________________________

Signature ______________________________ Date Signed _________________________________

FOR PARTICIPANTS OF MINORITY AGE

(UNDER AGE 18 AT THE TIME OF REGISTRATION)

This is to certify that I as a Parent/Guardian with legal responsibility for the above participant do understand the above terms and conditions and agree that we are legally bound by this agreement.

Parent/Guardian Signature ________________________________Date Signed__________________