Jump Off Clinic Pt.2 Friday, March 26, 2021 4:00 PM 9:00 PM 16:00 21:00 NorCal Courts 360 Ferry Street Martinez, CA, 94553 United States (map) Google Calendar ICS [ Boys & Girls ] Grades: 4th - 8th Price: $75Lock In: Fill Out & Submit registration form below.ONLY 30 Spots Available in each session! Registration Form Athlete Name * First Name Last Name Grade * 4th 5th 6th 7th 8th Session Session One: 4th-6th Grade | 4-6:15pm Session Two: 7-8th Grade | 6:45-9pm Parent / Guardian * First Name Last Name Email * Emergency Contact * (###) ### #### Payment * I understand that a spot is secured after payment is received. PayPal [ via Buy Now link below ] Venmo [ @accessyourgame ] Instagram Liability Waiver * 1. In consideration of being permitted in any way in the INDOOR SPORTS* Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at any time I believe conditions are unsafe, I will immediately discontinue further participation in the Activity. 2. I fully understand that: (a) _INDOOR SPORTS*_ Activities involve risks of minor injuries and dangers of serious bodily injury, including permanent disability, paralysis, and death (“Risks”); (b) these Risks and dangers may be caused by my own actions or inaction’s, the actions or inaction’s of others participating in the Activity, the condition in which the Activity takes place, or the negligence of the “Releasees” named below; (c) there may be other risk and social and economic losses either not known to me or not readily foreseeable at this time; and that I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation in the Activity. 3. I hereby release, discharge, and covenant not to sue NorCal Courts, LLC nor the City of Martinez, their respective administrators, directors, agents, officers, members, volunteers, and employees, other participants, SportStrong, or any sponsors, advertisers, and if applicable, owner and lessors of premises on which the Activity takes place, (each considered one of the “Releasees” herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the “Releasees” or otherwise, including negligent rescue operations and I further agree that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such claim. The following COVID-19 has been added to our existing waiver at NorCal Courts. You must agree to and follow its current rules as well as any future modified and/or amended Rules. Failure to adhere to these Rules, including the 6 feet social distancing rule will result in suspension of access privileges to NorCal Courts (NCC). No person who is feeling ill, has a fever or exhibits any of the symptoms of COVID-19 should access the facilities. Based on currently available information and clinical expertise, individuals of any age who have serious underlying medical conditions might be at higher risk for severe illness from COVID-19. Anyone who wishes to use any NCC facilities should be familiar with the information set forth on the CDC website and should carefully consider whether it is advisable to come to NCC. By checking the box below and clicking the "I agree" button, I understand, acknowledge and agree that : (i) I will immediately notify NCC if I contract the COVID-19 virus and specifically authorize NCC to disclose such information to all of NCC employees, Members and/or third persons that may have come into contact with me at the Club’s property and further authorize the use or disclosure of my health information for the purpose listed, (ii) the released information may no longer be protected by state and/or federal privacy regulations, (iii) I have the right to receive a copy of this Form, and (iv) I am signing this Form voluntarily. Access to NCC facilities shall be restricted for anyone who contracts the COVID-19 virus and may be restricted for individuals who came into contact with anyone with the COVID-19 virus until reinstated by the NCC in writing. I Agree We have received your regsitration form. Please don’t forget to submit a payment to secure your spot. “New Year, Same Grind.” -AYG Staff Payment
