Athletes Name *

First Name

Last Name

Athlete # 2

First Name

Last Name

Athlete #3

First Name

Last Name

Parent Or Legal Guardians Name *

First Name

Last Name

Phone

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Emergency Contact *

First Name

Last Name

Phone *

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Liability Waiver *

Certification of Physical Fitness to Participate and Liability Responsibility I understand and acknowledge that my participating athlete/team may incur personal or bodily harm while participating in sports-related activities, including but not limited to activities described as running, jumping, physical contact, etc. By submitting this agreement, I assume all risks inherent in these activities and accept full responsibility for any and all damages or injuries of any kind. I further acknowledge that to minimise the risk of injury, my participating athlete agrees to obey all safety rules and to report fully any problems related to his/her physical condition to a 55 Buckets Coach or Trainer as soon as the problem arises. I certify the following: a. My participating athlete/team is not currently under the care of a physician for an injury or illness that may prevent or would prevent his/her safe participation in The Gauntlet Tourney. b. My participating athlete/team is not currently being treated or recovering from an orthopaedic injury that would prevent his/her safe participation in The Gauntlet League, Tournament, or Skills Training. c. My participating athlete/team has no history of fainting or other problems related to strenuous exercise; d. My participating athlete/team is in good health and there is no reason he/she cannot safely participate in strenuous activity.

I Agree & Accept To The Terms Above

Liability Waiver *

I understand as the parent/guardian/coach of the participating athlete/team, I am responsible for my athlete’s medical coverage and insurance to cover any physical injury, or illness. 3. Assumption of Risk and Voluntary Participation I understand that participation in athletic training, sports leagues, or tournaments involves inherent risks, including but limited to sprains, fractures, concussions, cardiac events, and other physical injuries. Participation is voluntary, and by sign this waiver I affirm that I have voluntarily elected to allow my child/team to participate, fully aware of the associated risk. 4. Emergency Medical Authorization In the event of an emergency where I am unable to be reached, I authorize 55Buckets, J-one Training, The Gauntlet staff or representative to obtain consent to medical treatment deemed necessary for the safety and well-being of my athlete/team. I accept full financial responsibility for any medical care or transportation required

I Agree & Accept To The Terms Above

Photos/Videos Release | Refund Policy | Release of Liability *

Photo/Video Release5.Photo/Video Release I give permission for photos or videos taken during training sessions, tournaments, or events to be used in promotional materials, including social media, marketing campaigns, marketing campaigns, and digital/print media. I understand that my athlete/ team will not be compensated for such use Refund Cancellation Policy I acknowledge that payments made toward participation fees are non-refundable, regardless of voluntary withdrawal, injury, scheduling conflicts, or removal from the program due to violation of rules or policies. Release of Liability I do hereby release 55Buckets, J-One Training, The Gauntlet, Forza, Box2U directors, staff, employees, agents and/or volunteers and agree to hold them harmless from all claims whatsoever arising from the conduct of any persons which results in the injury or loss to my participating athlete.

I Agree & Accept To The Terms Above

Head Coach's Name *

First Name

Last Name

Phone

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Assistant Coach's Name *

First Name

Last Name

Phone

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Head Coach's Name *

First Name

Last Name

Phone *

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Assistant Coach's Name *

First Name

Last Name

Phone *

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Head Coach's Name *

First Name

Last Name

Phone

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Assistant Coach's Name *

First Name

Last Name

Phone

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Head Coach's Name *

First Name

Last Name

Head Coach's Phone *

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Assistant Coach's Name *

Only One Assistant Is Allowed On The Bench With Team

First Name

Last Name

Asst. Coach's Phone *

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Head Coach's Name *

First Name

Last Name

Phone *

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Assistant Coach's Name *

First Name

Last Name

Phone

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Head Coach's Name *

First Name

Last Name

Phone

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