Player Name *

First Name

Last Name

Parent Name *

First Name

Last Name

Phone *

(###)

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What Grade Is Your Player In?

3rd - 5th grade

6th - 8th grade

Release of Liability *

Participant hereby assumes all risks, known and unknown, foreseeable and unforeseeable, in any way connected with Participant's participation in the Wheat Ridge Basketball Academy Clinics . Participant and Parent accepts full responsibility for any liability, injury, loss, damage or death in any way connected with their participation in Wheat Ridge Basketball Academy events, except in cases of gross negligence.

I agree