2012 Winter Basketball Classic Registration Packet

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RELEASE AND INDEMNITY PARENT(S) OR LEGAL GUARDIAN: ON BEHALF OF (MINOR), FOR AN CONSIDERATION OF SAID MINOR BEING PERMITTED TO PARTICIPATE IN THE HI -PAL SPONSORED ACTIVITIES, HEREBY EXPRESSLY AGREE (S): A That there is substantial value and benefit to be derived by Minor TYPE OF ACTIVITY FROM (DATE) TO (DATE) in participating in this activity sponsored by the COUNTY. B That they shall forever release and waive all rights to bring suit or claims against and will indemnify and hold harmless, the County of Hawaii, it's officers, agents and employees, HI -PAL Program, the Hawaii Police Department, or any representative, sponsor, manager, coach, trainer, or person who is in any manner connected with the operation of the HI -PAL Program, an account of any and all claims, demands, loss of services, or expense for property damage, and /or personal injuries, that may arise as a result of said minor's participation in or transportation to and from the subject HI -PAL activity. C That COUNTY is not to be held liable for death or injuries resulting during period when MINOR is transported to ACTIVITY by persons other than employees of the COUNTY. D To give consent to allow MINOR to actively participate in ACTIVITY. E That PARENT(S) recognizes and understands that participation in ACTIVITY involves risk of death, personal injury, and /or property damage, commonly inherent in such activity. F That MINOR, through PARENT, or LEGAL GUARDIAN, voluntarily chooses to participate in ACTIVITY, to which action PARENT or LEGAL GUARDIAN, gives approval and consent. G That said MINOR is in reasonable good physical and mental health, such that the MINOR can safely participate in ACTIVITY. H To notify a representative from the HI -PAL Program if there is any change in MINOR's physical and /or mental condition such that MINOR cannot safely participate in ACTIVITY. Dated: , 20 , Hawail Father Mother Legal Guardian HPD /HIPAL -001 B REVISED 3 -11 -09 RETENTION 3 YEARS