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*Fontana Location requires this information for the Fontana Unified School District.

Media Waiver: I give FAST BREAK YOUTH BASKETBALL AND PACIFIC YOUTH SPORTS, permission to use my or my child's images on print and or video for the purpose of publicizing our youth programs. Those who view our website, flyers, social media, and other forms of advertisement benefit knowing about our program and what we offer to our students. I, the undersigned, have read and understood the above policies, procedures, liabilities and photo waivers and I am the legal guardian/ and or parent of this child. I have read, understood, and agree to all fees, information, and agreements listed on this website.

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Waiver of Liability • Assumption of Risk: I recognize that injuries can occur in any sport including basketball. Being fully aware of these dangers, I hereby give my consent for my child to participate in any and all Fast Break Youth Basketball and Pacific Youth Sports programs and activities and I ACCEPT ALL RISKS associated with this participation.

In consideration for myself or my child's participation I hereby, for myself and my child and our respective heirs and successors, COVENANT NOT TO SUE and FOREVER RELEASE Fast Break Youth Basketball or Pacific Youth Sports officers, directors, members, employees, contractors and volunteers from all liability resulting in damages or injuries incurred as a result or participation including those resulting from acts of negligence. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by me or my child as a result of any injury sustained while participating at or for Fast Break Youth Basketball and Pacific Youth Sports.

I have read and understand and accept this ASSUMPTION OF RISK and WAIVER OF LIABILITY and I VOLUNTARILY affix my name in agreement. I AGREE TO THE INFORMATION LISTED ABOVE REGARDING Fast Break Youth Basketball POLICIES AND AGREE TO ADHERE TO THEM. 

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