MNASE Basketball – Universal Waiver & Photo/Video Release (Auto-Filled)
Effective Date: September 11, 2017
Website: www.mnasebasketball.com
Contact: [email protected]
This form applies to anyone who registers, creates an account, or participates in MNASE programs in any way, including athletes, staff, volunteers, and spectators.
All personal and program information below is auto-populated from registration/account creation:
Field | Auto-Filled From Account/Registration |
Participant Name | Registration Name |
Date of Birth | Registration DOB |
Parent/Guardian Name | If participant <18 |
Relationship | Parent/Guardian Relationship |
Program/Camp/Event | Selected Program |
Event Date(s) | Selected Program Dates |
Email | Account Email |
Phone | Account Phone Number |
Emergency Contact | Provided Emergency Contact Info |
Allergies/Medical Conditions | Provided during registration |
1. Acknowledgment of Risk
By participating in MNASE programs, events, or volunteering, I acknowledge that activities involve inherent risks, including injury, property damage, or illness. I voluntarily accept these risks.
2. Waiver and Release of Liability
I, on behalf of myself, my heirs, and assigns, release MNASE Basketball, its staff, volunteers, coaches, officials, and affiliates from any claims or liabilities arising from participation, except in cases of gross negligence or intentional misconduct.
3. Medical Authorization
In an emergency, I authorize MNASE staff or medical personnel to provide medical treatment. I am responsible for all medical costs incurred.
4. Compliance & Responsibility
I agree to follow MNASE rules, instructions from staff, and act responsibly. I acknowledge responsibility for personal property and equipment.
5. Consent for Minors
If participant is under 18, parent/guardian consent is provided automatically from registration.
6. Photo & Video Release
I grant MNASE Basketball permission to capture images/videos of me (or my child) during programs/events. MNASE may use these for marketing, social media, newsletters, educational materials, and archives. This release is perpetual unless revoked in writing 30 days prior to use. Revocation does not affect previously produced materials.
7. Acknowledgment of Policies
By registering, I agree to MNASE’s Terms of Service, Refund/Return Policies, and Code of Conduct.
8. Severability
If any provision is unenforceable, remaining provisions remain in effect.
9. Governing Law
Minnesota law governs this agreement.
Digital Signature
By completing registration and account creation, I electronically acknowledge and agree to this MNASE Universal Waiver & Photo/Video Release.
Electronic Signature: Pulled from account credentials during registration
Date: Auto-populated as submission date