Household / Adult Primary Contact

Relationship to Participant: *
WAIVER AND RELEASE:  Acknowledging that participation in athletics carries with it a risk of injury, I agree that Brey' s Basketball Academy Men's League and it's employees shall not be liable to me or my child for any injury or damage, howsoever caused, resulting directly or indirectly from my child's participation in the Brey's Basketball Academy League at any time preceding, during, or after camp is in session and I hereby discharge Brey's Basketball Academy League and it's employees from all actions, claims, and demands I or my child may have for any such injury or damage.  I give consent to Brey's Basketball Academy League to use pictures of myself engaged in league activities to promote future Brey's Basketball Academy sponsored events.
 I accept the following terms
Guardian Name
Brey's Basketball Academy - 302-354-6509 - coachbrey@gmail.com - www.breysbasketball.com