Full Name of Parent/Guardian

CONSENT AND INDEMNITY

I, ______

(FULL NAME OF PARENT/GUARDIAN)

I.D.NO: ______

The parent /guardian of______

born on ______hereby give my consent for my child/ward to

participate in all activities as endorsed by Kwazulu Marlins Junior Basketball Academy.

I am fully aware of all the activities my child/ward will be participating in and of all risks inherent in such activities.

I fully understand and accept that all such activities shall be undertaken at my child/ward’s own risk , and I undertake, on behalf of myself, my spouse, my executors and my aforesaid child/ward to indemnify, hold harmless and absolve the Club, the Academy, it’s Directors, the

Coaches and/or any other person or persons connected directly with such activities, against any or all claims whatsoever which may arise in connection with any harm, injury or loss to the per son or property of my aforesaid child/ward in the course of such activities.

DATED AT ______THIS______DAY OF______2016

.

______

(SIGNATURE OF PARENT/GUARDIAN)

WITNESSES:

1.______

2.______