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Denver Basketball AbilityCAMP

Date: March 6, 2008
Time: 5:30pm - 7:30pm
Location: Gold Crown Field House
                   150 S. Harlan St.
                   Lakewood, CO

Camp Schedule:
5:15pm - 5:30pm Registration and Check-in
5:30pm - 7:00pm Skills Clinic
7:00pm - 7:30pm Snacks and Giveaways

This free interactive camp allows kids with disabilities, either physical or developmental, ages 6-18 to experience first hand the sport of basketball. This fun-filled day will include instruction and skill development, use of equipment, games, prizes and ends with a snack. Appearances could include players, coaches and the mascot.

AbilityCAMP:
Participant First Name:
Participant Last Name:
Parent/Guardian Name:
Address:
City:
State:
Zip Code:
Phone:
Email Address:
Age:
Date of Birth:
Sex: Male
Female
Disabilities:
Seizures:

Yes
No

Medications:
Wheelchair:

Manual
Power

Emergency Contact:
Emergency Contact Phone:
 
Waiver of Liability

In consideration of my child ("Participant") being permitted to participate in the Basketball AbilityCAMP (the "Camp"), I, for myself, my child and our respective heirs and assigns (the "Releasing Parties"), do hereby, forever, unconditionally and wholly release, hold harmless and agree to defend, National Sports Center for the Disabled, Gold Crown Field House, Kroenke Sports Enterprises, Denver Nuggets, the National Basketball Association and its Member Teams, NBA Properties, Inc. and each of their respective parents, subsidiaries, affiliates, directors, officers, employees, partners, owners, members, shareholders, players, attorneys, insurers, agents, successors and assigns (collectively, the "Released Parties") from any and all claims, liabilities, causes of action, losses, judgments, liens, costs, expenses, attorneys' fees, demands, obligations or damages, whether known or unknown, that are caused by, arise from, or relate or are attributable, in any way, to any injury (including death) to my child's person or property (including personal property) regardless of the cause(s) of such injury. This Participant Waiver of Liability (this "Waiver") shall be governed by and construed in accordance with the internal laws of the State of Colorado. I agree that in the event any Releasing Party brings a claim or charge covered by this Waiver seeking damages or any other relief against any of the Released Parties, this Waiver shall serve as a complete defense. In that event, I agree to fully indemnify and defend the Released Party(ies) at my sole cost and expense. I have been advised and fully understand the risks inherent in the activities that my child will be involved in at the Camp. I understand that the staff/volunteers of the Camp are not allowed to administer medication or provide personal care such as feeding, toileting, and/or dressing. Anyone needing that type of assistance must make his or her own arrangements. I hereby acknowledge that I have carefully read this Waiver, I fully understand its content, I am over the age of 18, I am my child's parent or guardian and I sign this Waiver voluntarily and knowingly on behalf of my child and intend for it to be legally binding. In addition, I acknowledge that I have had an opportunity and was advised to seek guidance from counsel regarding this Waiver and have been fully advised of my legal rights.

Agree: Yes
No
I grant permission for Participant's picture to be used in publicity or brochures related to this event.
Agree: Yes
No
Participant Name:
Parent/Guardian Signature:
Date:
Sign here: __________________________
Please print this page out and bring it to the camp with you.


P.O. Box 1290, Winter Park, Colorado 80482 USA ph: 970.726.1540 or 303.316.1540 fx: 970.726.4112
Denver Office: 1801 Bryant St, Ste 1500, Denver, CO 80204 ph: 303.293.5711 fx: 303.293.5448 Email:
info@nscd.org

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