Waiver Form | Dirt Road Basketball

Dirt Road Basketball League
Waiver Form

Player's First Name

Player's Last Name

Parent / Guardian First Name

Parent / Guardian Last Name

What school does your child play for?

Parent / Guardian Initials

Select a date required

I am aware that there are inherent risks associated with participation. On behalf of myself and the participant(s) named below, knowingly and freely assume all such risks, both known and unknown, and, I represent that I am the parent or legal guardian of the participant(s) named below. I agree that the participant(s) named below and I shall comply with all stated rules, and verbal instructions as conditions for participation. I assume all risks and responsibilities concerning COVID-19 while participating in the league as a player and/or spectator. I hereby release and hold harmless the directors, host schools and officials from and against any and all claims, injuries, liabilities or damages arising out of or related to our participation in this league.

I declare that the information I have provided is accurate and complete.

Thanks for submitting!

Dirt Road Basketball League Waiver Form

Dirt Road Basketball League
Waiver Form