Harlem Globetrotters / 24HR Medical Release / Waiver
I, the undersigned, understand participation in the Harlem Globetrotters Summer Clinic to be held at various 24 Hour Fitness (“24HR”) locations (“Location”) for kids involves risk of accidental injury to myself or my child, despite all safety precautions, whether I or someone else causes it. Specific risks vary and range in severity from minor injuries to major injuries, such as catastrophic injuries including death. In consideration of myself and/or my child’s participation in the activities or programs offered by Harlem Globetrotters International, Inc. (“HGI”) or 24 Hour Fitness, USA, I understand and voluntarily accept this risk and agree that 24HR, its officers, directors, employees, volunteers, agents, property owners, independent contractors and HGI and its officers, directors, employees, volunteers, agents, property owners and independent contractors will not be liable for any injury, including, without limitation, personal, bodily, or mental injury, economic loss or any damage to myself or my minor child deemed as resulting from negligence of 24 HR or anyone on 24 HR’s behalf or HGI or anyone else whether related to participation HGI program or not. I understand and acknowledge that 24 HR is providing facility location space for HGI to provide recreational services and may not be held liable for services.
Therefore, as a parent and/or guardian, I will assume all risks, injury or illness, for my child(ren) that may occur during the participation in any activities or use of facilities in the Harlem Globetrotters Summer Clinic. In the event that my child(ren) need medical treatment due to accident or injury or natural causes while registered and participating in the Harlem Globetrotters Summer Clinic and on Location, I authorize the HGI Camp Staff , Operators, and applicable 24 HR on-site employees to take whatever action is deemed necessary by said staff at that time to care for my child(ren). I hereby give permission for the HGI Camp Staff and Operators to use their best judgment in arranging for my child(ren)’s emergency medical treatment to the best of their ability. I certify that my child(ren) is/are covered by medical insurance and that I am fully responsible for all costs incurred due to medical or dental treatment as deemed necessary by the HGI Camp Staff and Operators.
I understand that I and/or my child(ren) may be photographed, videotaped, or otherwise recorded, and agree on behalf of myself and/or my child(ren) that HGI may use my and/or my child(ren)’s name and likeness (in any form and without regard to distortions of charcter, form or color, or any other alteration) in photographs, videotapes, audiotapes, and other media, without any additional consideration to myself and/or my child(ren) or to any third party. The clinic participant’s parent/guardian grants permission HGI and their agents to utilize the clinic participant’s name, image or likeness in any live or recorded audio, video or photographic display or other transmission or reproduction, in whole or in part.
By Signing this form, I acknowledge that I agree to the terms of this Release of Liability and Assumption of Risk on behalf of myself and my child. I also represent that I am the parent or legal guardian of the program participant for which this application is prepared. I am aware of the potential risks for participating in activities and/or programs in the Harlem Globetrotters Summer Clinic, and in no way hold management, agent, sponsors or employees of HGI, the Location or its operators liable for any injury that my child(ren) may sustain. I also agree to defend and indemnify 24 HR from and against any claims, demands, causes of actions or lawsuits brought by the child or on his or her behalf for injuries or other damage whether or not deemed caused by 24HR or other. I have read and understand the above statement. My child has permission to participate in the 2014 Harlem Globetrotters Summer Clinic.