Hoops and Homework

Location: DELTA Foundation Inc.(Hoops & Homework After-School Program)

The Creation Center at 2508 Portland Avenue Louisville, KY 40212

I __________________________________, as the parent and/or legal guardian of the participant stated above, have given my daughter/son permission to participate in the DELTA Foundation’s 2024-2025 Hoops & Homework After-School Program and I certify that he/she is in good health and can take part in all clinic activities. I fully understand that participation in this basketball clinic may involve serious risks and danger that may result in harm, bodily injury and death. While particular rules, equipment, and personal discipline may reduce the risk, I acknowledge the risk of serious injury does exist.

In the event of an emergency or an injury occurs, I authorize the camp staff members to take all proper action and use the emergency service available at the nearest hospital if necessary. I understand my personal insurance will be used in this case.

I, for myself and on behalf of the participant hereby release and hold harmless against any claims, damages, and expenses DELTA Foundation and any of their directors, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of the premises used to conduct the event.

I acknowledge and agree that the DELTA Foundation retains the right to use photographs and videos taken of the event participants for publicity and advertising purposes.

I ACKNOWLEDGE THAT MY CHILD MUST BE PICKED UP DAILY (MONDAY-THURSDAY) BY 6:00 PM.