By checking this box I , the undersigned, understand/acknowledge that participation in basketball can be hazardous and realize that no one should enter this activity unless the participant is medically able. By permitting my child to participate in camps or sessions with Separation Team, LLC., I understand and acknowledge the fact that basketball and related activities always involve certain degrees of risk of injury to the participant, included but not limited to, serious injury or death; further understanding all the equipment provided for my child's protection. This includes the active participation of a coach who may assist the performance of certain skills, but may or may not be able to prevent certain injury.

In order for my child to receive the necessary medical treatment in the event of an injury or illness, I hereby authorize Separation Team LLC., and their staff members to obtain medical treatment including transportation to a medical facility. I hereby hold them and their representatives harmless in their exercise to this authority.

By checking this box, I acknowledge such risks, and hereby release Separation Team LLC., its owners and employees, jointly and severally, from any and all personal injury claims arising through or from participation in the activities as a student of Separation Team LLC., no matter what facility the activity is being held. I assume full financial responsibility for any medical treatment obtained in the event of injury or illness.

I give Separation Team LLC permission to use my child's likeness for marketing and promotional purposes