Contact Us

info@ladyballerz.com

248.820.5314

5119 Highland Road Ste#249
Waterford Township MI 48327

Player Name

Parent Name & Email

Phone

Age-2026 Grade

Liabilty Wavier Please Check All Boxes Required

I hereby consent to the aforementioned person participating in the“Lady Ballerz” Club program including but not limited to; tryouts

I recognize that potentially severe injuries can occur in any activity that is associated with basketball and youth sports. I understand that this is the express intent of the Lady Ballerz Basketball club, to provide for the safety and protection of my child and, in consideration for allowing my child to try out for the Lady Ballerz Basketball Club, I hold the club and/or any facility used total

I hereby forever release, Lady Ballerz basketball Club and its Directors, Coaches, Trainers and staff, AAU Girls Basketball, US Basketball and/or facility used by Lady Ballerz Basketball Club, its officers, employees, coaches and owners from all liability for any and all damages and injuries suffered by my child while under the instruction, supervision or control of any of the above so mentioned

In case of an emergency, I authorize Lady Ballerz Basketball Club staff to administer first aid to my child/or take my child to a physician or hospital for further treatment. This acknowledgement of risk and waiver of liability, having been read thoroughly and understood completely, is signed voluntarily as to its content and intent.

I agree to the terms & conditions