UH HILO Coaches Hawaiian Islands Tour

Sunday, May 17 from 5-7pm at South Maui Community Park Gym

(1501 Liloa Dr, Kihei)

FREE FOR PLAYERS GRADES 4-8

UH Hilo Coaches Hawaiian Islands Tour Registration

Basketball player's name

First

Last

player's Phone Agreement

What grade is the player in?

Parent/Guardian Name

First

Last

Parent/Guardian Email

Parent/Guardian Phone

Emergency Contact – Name, Relationship to Child, Phone Number

Permission & Agreement

I agree and give my permission

I give the player stated here permission to participate in the UH Hilo Coaches clinic hosted by Hoop Heads Academy, Inc. I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any andI all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, and do hereby release and forever discharge Hoop Heads Academy, Inc, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any physical or psychological injury, that I may suffer as a direct result of my participation in the aforementioned Activity, including traveling to and from an event related to this Activity.

Name of Guardian/Parent

First

Last

By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.