Register for the Elite Basketball Clinic


June 27, 2015


Inderkum High School Gym

2500 New Market Dr. 

Sacramento, CA 95853


Cost: $50/Athlete

Grades: 7th-12th

Name *
In consideration of being allowed to participate in this camp, related events, and activities, I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE Deep Roots Foundation and their officers, agents, or employees , the State of California, this clinic, and its directors and employees (hereinafter referred to as RELEASEE) from any and all liability, claims, demands, or course of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me/my child, or to any property belonging to me/my child, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEE, or otherwise, while participating in this clinic, or while in, on upon the premises where the clinic is being conducted. To the best of my knowledge, I/my child and/is in good physical condition and I am not aware of any physical infirmity which would place me/my child at risk to participate in any way with clinic activities. I am fully aware of risks and hazards connected with the clinic. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me/my child, or any loss or damage to property owned by me/my child, as a result of being engaged in the clinic’s activities, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEE or otherwise. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEE from any loss, liability, damage or cost, including court costs and attorney’s fees, that may accrue related to me/my child’s participation in this clinic, WHETHER CAUSED BY NEGLIGENCE OF THE RELEASEE or otherwise. During the period of the clinic, I hereby give permission for the staff of the Deep Roots Foundation to administer appropriate medical attention to me/my child in the event of an accident, illness or injury. I will be responsible for any and all costs of medical coverage and treatment provided not covered by insurance. It is my express intent that this Waiver of Liability and Hold Harmless Agreement shall bind the member of my family and spouse, if I am alive, and my heirs, assigns a personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the above-named RELEASEE. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of California. In signing this release, I acknowledge and represent that I have read and understand it and sign it voluntarily; I am at least eighteen (18) years of age and fully competent; and I execute this Release for full, adequate and complete consideration fully intending to be bound by the same.
I Accept Medical Release/Liability and I agree to the Terms and Conditions. Check box indicates electronic signature and acceptance of the above medical release form.
Participant's connection in or otherwise in connection with the event, grants permission to the Released Entities (Deep Roots Foundation) to utilize participant’s name, voice, statements, photographs, image, likeness, actions at the Event and/or Participant’s biographical data in any live or recorded form (including, but not limited to, any form of video display or other transmission or reproduction), in whole or in part, for promotional, commercial or any other purpose, in perpetuity worldwide on standard and non‐standard television, home video, print, electronic and on‐line media (including, without limitation, the Internet), and in any other means of distribution, publication or exhibition, whether now known or hereinafter created without any additional consideration and acknowledges that the Released Entities are relying on the grant of rights contained herein.
Accept Image Release: I agree to the Terms and Conditions.
Check box indicates electronic signature and acceptance of the above image release form.

Once you have submitted your information above

please pay the $50 registration fee. 

Thank You!