Spectrum Adult Basketball League Registration

The purpose of this form is to give permission for team to participate in a sport or activity sponsored by or held at Spectrum Sports Academy, 3710 Tom Andrews Rd in Roanoke Virginia. It is also the purpose of this form to enable parents or guardians to authorize the providing of emergency medical treatment for their child who is injured or becomes ill while participating in any activity, event, or practice in the event a parent or guardian cannot be reached. This acknowledges that I/we, the undersigned, parent(s) or legal guardian(s) of The athlete registered recognize the potentially hazardous nature of youth sports and that an injury might be sustained. In the event of such an injury to my child where we cannot be contacted, we give permission to a licensed physician to render such treatment as would be normal and agree to pay usual charges for such treatment. I/We release Spectrum Sports Academy, its employees, its agents from any personal injuries or damages caused by or resulting from my child participating in this activity. I/We understand that this release applies to any present or future injuries. . I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify and hold Spectrum Sports Academy, LLC (“Releases”) harmless with respect to any and all injury, disability, death, or loss or damage to person or property, to the fullest extent permitted by law. I/We further certify that to my knowledge there is no medical reason why my son or daughter cannot safely participate in said sports activities and that my child agrees to abide by all rules and regulations of the sport and the facility.