Release For Participation

I the undersigned, realizing that there is a risk inherent in any recreational activity, and in consideration of myself or my child being allowed to participate in this activity, I personally assume all risks for myself or my child in connection with the said event. I further agree to release, indemnify, and hold harmless the Indiana Basketball Academy, Inc, its officers, officials, coaches, employees, and agents from any and all claims and liabilities of any type whatsoever, and for damages to loss or destruction of any property or injury, sickness, or death which may now or hereafter arise out of, result from, or in any way be connected with my child's participation in said activity. I understand it is my responsibility to obtain health insurance. I further state that I am of lawful age and legally competent to sign this release; that I understand the terms herein are contractual and are not mere recital; and that I have signed this document of my own free act.

Behavioral Agreement

Participant agrees to abide by all rules, regulations and amendments to such, as established by the Indiana Basketball Academy which rules shall be enforced at the sole discretion of the Indiana Basketball Academy . Failure to abide by such rules and regulations may result in termination of participant's right to participate or attend any activity of the Indiana Basketball Academy .

All rules and regulations apply to each person who signs below. Any player who does not sign this release is ineligible to participate in any event at the Indiana Basketball Academy .

        Name                       Address                      Phone Number                                 Signature

1._________________________________________________________________

2._________________________________________________________________

3._________________________________________________________________

4._________________________________________________________________

5._________________________________________________________________

6._________________________________________________________________

7._________________________________________________________________

8._________________________________________________________________

9._________________________________________________________________

10.________________________________________________________________

11.________________________________________________________________

12 .___________________________________________________________________________

*Team Captain is responsible for all fees owed to the I.B.A. Signed_______________________

Team Name:                                      Captain:

Home Phone:                                      Work Phone:                                      Fax: