Legacy Lab x DD365 — Participant Liability Waiver

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Legacy Lab Inc. × Dribble Drive Basketball Group, Inc.

BASKETBALL TRAINING — PARTICIPANT LIABILITY WAIVER

Please read carefully. This is a legally binding document. All fields are required.

Already completed your waiver? You are all set for Friday 5:30pm training at 3920 W Navy Blvd. No need to fill this out again. New here? Please complete the waiver below.

SECTION 1 — PARTICIPANT INFORMATION

Participant Name *

Age *

DOB *

Grade *

School *

Street Address *

City *

State *

Zip *

Home Phone

Cell Phone *

Parent / Guardian Email Address *

Father's Name

Phone

Mother's Name

Phone

Emergency Contact Name *

Phone # *

Previous Basketball Experience (write 'none' if none) *

SECTION 2 — MEDICAL DISCLOSURE & PERMISSIONS

Does the child have any disabilities, handicaps, present injuries or limitations, allergies, hemophilia, heart condition, diabetes, asthma, history of respiratory illness, or other significant medical conditions?

Medical condition(s) present? *

YES NO

If yes, describe condition(s):

Signs & symptoms staff should be aware of:

Current medications taken (include dosage if relevant):

Does the participant have a latex allergy? *

YES NO

If yes, describe reaction / severity:

Doctor to contact in case of emergency (optional — for medical contact only):

Doctor's Name

Phone #

Emergency Care Permissions

Please initial next to each item to grant permission. Staff are trained volunteers, not licensed medical professionals. In all serious emergencies, 911 will be called immediately.

I authorize staff to administer First Aid as needed.

I authorize staff to perform CPR (Cardiopulmonary Resuscitation) if the participant is unresponsive and not breathing.

I authorize staff to use an AED (Automated External Defibrillator) if indicated.

I authorize staff to administer over-the-counter pain relievers (e.g., ibuprofen, acetaminophen) if the participant is in pain and a parent/guardian cannot be reached.

Note any medications or treatments the participant CANNOT receive:

SECTION 3 — EMERGENCY AUTHORIZATION

I, the undersigned Parent, the parent or legal guardian of the Participant named above, a minor, hereby authorize the coaches, staff, and volunteers of Legacy Lab Inc. and Dribble Drive Basketball Group, Inc. (DD365), as my agents, to consent to medical examination of my child. In case of emergency, I hereby authorize treatment and/or care at any hospital. If there is an emergency and I cannot be reached, please contact the emergency contact listed above.

Parent's Authorization Signature *

Draw your signature above with mouse or finger

Date *

SECTION 4 — ASSUMPTION OF RISK

I acknowledge that participation in basketball training and athletic development activities involves vigorous physical exertion and carries inherent risks, including but not limited to: sprains, strains, fractures, cardiovascular stress, and other physical injuries. These risks exist even when activities are conducted with proper instruction and supervision.

I voluntarily accept and assume all such risks associated with participation in Legacy Lab Inc. and Dribble Drive Basketball Group, Inc. (DD365) programming, whether known or unknown at the time of enrollment, on behalf of myself and/or my minor child.

SECTION 5 — WAIVER OF LIABILITY, DISCLAIMER & PERMISSION

I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, hereby release and hold harmless Legacy Lab Inc. and Dribble Drive Basketball Group, Inc. (DDBG/DD365), their respective staff, agents, officers, employees, coaches, volunteers, and affiliates, as well as all facilities and facility owners where training may be held, from any claims or liabilities for any injuries, damage to any participant, registrant, or guest, or any claim, demand, injury, or damages whatsoever — including, without limitation, those damages arising from acts of passive or active negligence on the part of Legacy Lab Inc., DDBG/DD365, their officers, employees, or agents.

I, as Parent of Participant, hereby expressly and forever release and discharge Legacy Lab Inc. and DDBG/DD365 from all such claims, demands, injuries, damages, actions, or causes of action. I further acknowledge that I have carefully read this paragraph and fully understand that this is a waiver and release of liability.

Signature of Parent or Guardian *

Draw your signature above with mouse or finger

Date *

SECTION 6 — CODE OF CONDUCT

I agree that the participant will uphold the standard of excellence required by both Legacy Lab Inc. and DD365:

Arrive on time and prepared for every session
Treat all coaches, peers, and facility property with respect
Maintain a positive, coachable attitude at all times
Complete all assigned homework and accountability check-ins
Represent Legacy Lab Inc. and DD365 with integrity on and off the court

Both Legacy Lab Inc. and Dribble Drive Basketball Group, Inc. reserve the right to remove a participant from the program, without refund, if conduct standards are repeatedly violated.

SECTION 7 — MEDIA RELEASE

All video of training session(s) is the sole property of Legacy Lab Inc. and Dribble Drive Training Group, Inc. and cannot be used without written permission from either entity. Photos and videos may be used for promotional purposes by either organization.

Media permission *

I GRANT permission for Legacy Lab Inc. and DD365 to use photos/videos of the participant for promotional purposes.

I DO NOT grant permission for use of photos/videos of the participant by either entity.

SECTION 8 — ACKNOWLEDGMENT & FINAL SIGNATURE

By signing below, I confirm that I have read and fully understand all sections of this document. I am signing freely and voluntarily and acknowledge that this agreement is enforceable and binding upon me, my heirs, and legal representatives.

Parent / Guardian Printed Name *

Signature of Parent or Guardian *

Draw your signature above with mouse or finger

Date *

PAYMENT METHOD

How are you paying? * Paying via this site (card) Step Up for Students