Lehigh Valley Basketball Club

Player Waiver

The attached form must be completed and signed in all areas by both the player and her/his parent or guardian. By doing so the signees acknowledge an understanding by the parent or guardian of the risks involved with participation in Lehigh Valley Basketball Club events. We do not anticipate any injuries or emergencies to occur during Lehigh Valley Basketball Club events. However, in the case they do occur we must be prepared with the proper documentation.

This form ensures safety and clear communication with all coaches, families and players thus we require the attached information as part of our emergency plan of action. This form must be in the possession of the coach/team at all times in the event an injury occurs.

By Signing this form the participant affirms having read and agreed to the terms and conditions listed below.

Please print out this form or have an electronic screenshot for all Lehigh Valley Basketball Club sanctioned events.

Questions?

dreiman@lehighvalleybasketball.com

Privacy Policy

PLAYER INFORMATION FORM
First Name
Last Name
Team Name Player Email Date of Birth (MM/DD/YYYY)
Guardian First Name
Guardian Last Name
Guardian Email
Lehigh Valley Basketball Club Player Waiver .
Lehigh Valley Basketball Club Player Waiver (Click to Read)
PARTICIPANT WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT FOR MINOR

For and in consideration of 3STEP Sports, LLC DBA Lehigh Valley Basketball Club, its subsidiaries, affiliates, and ownership entities (collectively "3STEP Sports, LLC") allowing the minor identified below (the "Minor") to participate in any 3STEP Sports, LLC event, including, but not limited to, athletic competitions, games, tournaments, practices, camps, clinics, tryouts and related activities sponsored by 3STEP Sports, LLC (the "Event" or "Events"); I, for myself, and on behalf of Minor, and the Minor's parents/legal guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns, hereby agree to and make the following contractual representations pursuant to this Waiver and Release of Liability, Assumption of Risk and Indemnity Agreement (the "Agreement"):

1. I hereby represent that (i) I am the parent or legal guardian of the Minor; (ii) the Minor is in good health and in proper physical condition to participate in the Event; and (iii) the Minor is not under the influence of alcohol or any illicit or prescription drugs which would in any way impair the Minor's ability to safely participate in the Event. I agree that it is my sole responsibility to determine whether the Minor is sufficiently fit and healthy enough to participate in the Event, and that I am responsible for the Minor's safety and well-being at all times and under all circumstances while at the Event.

2. I understand and acknowledge the risks and dangers associated with the Minor's participation in the Events and related activities, including without limitation, the potential for serious bodily injury, sickness and disease, permanent disability, paralysis and loss of life; loss of or damage to equipment/property; exposure to extreme conditions and circumstances; contact with other participants, coaches, umpires, officials, spectators, animals or other natural or manmade objects; dangers arising from adverse weather conditions; imperfect field conditions; land, water and surface hazards; equipment failure; inadequate safety measures; participants of varying skill levels; situations beyond the immediate control of the Event Organizers; and other undefined, not readily foreseeable and presently unknown risks and dangers ("Risks"). I understand that these Risks may be caused in whole or in part by the Minor's own actions or inactions, the actions or inactions of others participating In the Event, or the negligent acts or omissions of the Released Parties defined below. On behalf of the Minor, I hereby expressly assume all such Risks and responsibility for any damages, liabilities, losses or expenses which may be incurred as a result of the Minor's participation in any Event.

3. I understand that the Minor is required to be familiar with and to abide by the Rules and Regulations established for the Event, including but not limited to the Competitive Rules adopted by 3STEP Sports, LLC and any safety regulations established for the benefit of all participants. I accept sole responsibility for the conduct and actions of the Minor while he or she is participating in the Event.

4. By signing below, I hereby permit the placement of Participants' name, photo, and likeness on 3STEP Sports, LLC website and other promotional mediums and materials.

On behalf of the Minor, I hereby Release, Waive and Covenant Not to Sue, and further agree to Indemnify, Defend and Hold Harmless the following parties: 3STEP Sports, LLC, its member athletes/players, clubs, coaches, umpires, trainers, officials; the Event Owners, Directors, Organizers, Promoters, Sponsors and Advertisers; the Host Facility/Venue and the Property Owners or Operators where the Event takes place; Law Enforcement Agencies and other Public Entities providing support for the Event; and each of their respective parent, subsidiary and affiliated companies, officers, directors, partners, shareholders, members, agents, employees and volunteers (Individually and Collectively, the "Released Parties" or "Event Organizers"), with respect to any liability, claim(s), demand(s), cause(s) of action, damage(s), loss(es) or expense(s) (including court costs and reasonable attorney’s fees) of any kind or nature ("Liability") which may arise out of, result from, or relate in any way to the Minor's participation in the Event, including claims for Liability caused in whole or in part by the negligent acts or omissions of the Released Parties. I further agree that if, despite this Agreement, the Minor, or anyone on the Minor's behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend and hold harmless each of the Released Parties from any such Liabilities which any may be incurred as the result of such claim.

The 'Event' may be physically challenging and pose a risk of discomfort, illness, injury, and even death. It is your responsibility to ensure that the Minor is in sufficient physical condition to participate in the Event without risk to the Minor’s health or life. 3STEP Sports, LLC does not conduct health or fitness checks on entrants or participants.

On behalf of the Minor, you understand that, depending on the nature of the Event, participation may be hazardous, and that the Minor should not enter and participate unless you are in sufficient physical condition to participate. If needed, you should consult the Minor’s doctor before participating in the Event.

In the event of injury to the Minor, limited care, such as basic first aid or CPR, may be provided and appropriate emergency services contacted. You acknowledge that this Agreement extends to any liability arising out of or in any way connected with any limited care that may be provided in the event of an emergency and/or injury. You understand that no such care may be available, but if it is, in each and every case you assume sole liability for any and all medical expenses incurred as a result of your participation in the Event, including, but not limited to ambulance transport, hospital stays, physician services, pharmaceutical goods, or medical devices.

I hereby warrant that I am of legal age and authorized to enter into this Agreement on behalf of the Minor, that I have read this Agreement carefully, understand its terms and conditions, acknowledge that I will be giving up substantial legal rights by signing it (including the rights of the Minor, the Minor's parents/legal guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns), acknowledge that I have signed this Agreement without any inducement, assurance or guarantee, and intend for my signature to serve as confirmation of my complete and unconditional acceptance of the terms, conditions and provisions of this Agreement. This Agreement represents the complete understanding between the parties regarding these issues and no oral representations, statements or inducements have been made apart from this Agreement. If any provision of this Agreement Is held to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of any remaining provisions.


LVF/LVBC RELEASE OF LIABILITY

I understand that there are certain risks or injury inherent in the practice and play of basketball with the Lehigh Valley Fever & Force and Lehigh Valley Basketball Club (hereinafter collectively known as “LVF/LVBC”), as well as other related activities, such as basketball tryouts, practice, games and tournaments, clinics or other programs run, sponsored or supported by LVF/LVBC (LVBC Activities), incidental to my (or my minor child’s) participation, and I am willing to assume these risks. I hereby certify that I (or my child if a minor) am fully capable of participating in playing basketball and that I (or my child) am healthy and have no physical or mental disabilities or infirmities that would restrict full participation in these activities. In addition to giving full consent for my (or my child’s) participation, I do hereby waive, release and hold harmless LVF/LVBC, it officers, coaches, sponsors, supervisors and representatives, as well as any school district, community center, college, or athletic facility providing gym time, for any or all claims for personal injury, wrongful death, or property loss or damage arising out of, in connection with, participation in LVF/LVBC activities, its equipment and facilities (rented or owned) and any activities incidental thereto, wherever, whenever or however the same may occur. I hereby voluntarily waive any and all claims that may be made by me, my family, estate, heirs or assigns, whether the result of negligence or any other cause.

Further, I understand that the LVF & LVBC will host an organizational website, as well as social media accounts and I understand that personal information such as pictures, school, grade, statistics, videos, etc. may be displayed on the players on my team. Therefore, I hereby consent to the recording of statements, photographs, and/or audio or video recordings taken of my team and my players by the LVF & LVBC and/or its contractors or affiliates. All statements, photographs, and/or audio or video recordings taken of my team & players, by the LVF & LVBC and/or its contractors or affiliates, may be used by them for promotional, commercial, college recruiting or other purposes as determined by the organization and shall remain the sole property of LVF & LVBC. Neither the Player nor the Parent shall receive any compensation in connection with use of these statements, photographs, and/or audio or video recordings for promotional, commercial or other purposes. LVF/LVBC will also conduct online trainings and workouts. All participants are solely responsible for the equipment they use and for the training areas they select to utilize. LVF/LVBC shall not be held responsible for any damages resulting from injuries suffered from such online trainings, nor will they assume responsibility from any claims or losses that occur due to online activities including, but not limited to, internet privacy issues, technological problems, and identity theft. On behalf of the Minor and myself, I hereby release, waive and discharge any claims of any kind or nature arising out of or relating to the use of the statements, photographs, audio, video recordings and online trainings against the LVF & LVBC and its agents.

COVID-19: The novel coronavirus, COVID-19 has been declared a worldwide pandemic by the World Health Organization and is believed to spread mainly thru person-toperson contact. It is believed that an individual can be infected with the virus without their knowledge and be asymptomatic. By signing this waiver, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my children, my family and I may be exposed to or infected by COVID-19 by participating in LVF/LVBC sports program(s), related event, or activity and that such exposure or infection may result in personal injury, illness, permanent disability and death to myself, spouse, children, unborn child, family and friends. I understand that the risk of becoming exposed to or infected by COVID-19 at a LVF/LVBC sports program(s), related event, or activity may result from the actions, omissions, or negligence of myself and others, including but not limited to LVF/LVBC employees, volunteers, officers, coaches, sponsors, supervisors and representatives. I UNDERSTAND AND VOLUNTARILY ACCEPT AND ASSUME ALL THE FORGOING RISKS AND ACCEPT SOLE RESPONSIBILITY FOR ANY INJURY OR ILLNESS THAT MAY OCCUR. I hereby release, covenant not to sue, discharge, and hold harmless LVF/LVBC, its employees, volunteers, officers, coaches, sponsors, supervisors and representatives, of and from any claims, liabilities, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of LVF/LVBC, its employees, agents and representatives whether a COVID-19 infection occurs before, during, or after participation in any LVF/LVBC programs.


COVID STATEMENT

In addition, and without prejudice to the generality of any of the foregoing, I acknowledge that COVID-19 infections have been confirmed throughout the United States. I represent and warrant that none of the Minor or anyone else (including me) that accompanies the Minor to any 3STEP Sports, LLC event has, within the past 14 days: (i) returned from any highly impacted area subject to a Level 3 Travel Health Notice issued by the Centers for Disease Control and Prevention (a “Level 3 Notice”); (ii) had exposure to any person returning from an area subject to a Level 3 Notice; or (iii) had exposure to any person who has a suspected or confirmed case of COVID-19. I agree that I will not permit the Minor or any other person (including me) to participate in any 3STEP Sports, LLC event if he or she: (i) experiences symptoms of COVID-19; or (ii) has a suspected or diagnosed/confirmed case of COVID-19.

I agree that the Minor and anyone else (including me) that accompanies the Minor to any 3STEP Sports, LLC event will comply with and submit to any and all policies, protocols, procedures or other requirements that 3STEP Sports, LLC implements to protect the health and wellbeing of those who participate in or otherwise attend 3STEP Sports, LLC events, including, without limitation, temperature checking and social distancing in accordance with the guidelines recommended by the CDC or other public health agencies. I fully understand and appreciate both the known and potential dangers of participating in and attending 3STEP Sports, LLC events and acknowledge that both participants and attendees of such events may, despite 3STEP Sports, LLC’s efforts to mitigate such dangers, result in exposure to COVID-19, which could result in quarantine requirements, serious illness, hospitalization, disability and/or death. On behalf of myself and the Minor, I voluntarily assume all such dangers and risks and accept sole responsibility for any illness, loss or Liability that may result from participating in or attending any and all 3STEP Sports, LLC events.

I acknowledge and agree that the release, waiver, covenant not to sue and indemnification obligations previously set forth above extend to any Liabilities arising due to any person contracting or transmitting COVID-19 as a result of participating in or attending any and all 3STEP Sports, LLC events.