This form is for the 3rdth-9th Grade MAY MAYHEM Cashapp:$AYBL1 Email * Parent's Name * First Name Last Name Phone (###) ### #### Athletes Name * First Name Last Name School * School County * Grade * Gender * Female Male Age * Date of Birth * MM DD YYYY Covid Liability Release * As the parent of the participant, I hereby give my approval for their participation in any and all Next Play 360, Next Play 360, School of Athletics, Next Level Devlopment and any affiliate of Next Play 360 activities. I assume all risks and hazards incidental to such participation including transportation to and from the activities; and I do hereby waive, release, absolve, indemnify and agree to hold harmless Next Play 360, Next Level Devlopment, affiliates, sponsors, organizers, owners of facilities used, supervisors, participants, and coaches for any and all claims arising our of injury to my child except as covered by Commercial Insurance, AAU Insurance, YBOA Insurance or motor vehicle Insurance. I hereby give permission to be used in advertisement for Next Play 360, NP 360, School of Athletics, Next Level Devlopment and any affiliate of Next Play 360; this includes my child and child's team being photographed, videotaped and his/her information (such as stats, etc) on the Next Play 360, NP360, School of Athletics, Next Level Devlopment and any affiliate of Next Play 360 website, social media, newspaper etc. for promotion of the program. * Has been exposed to COVID-19/Corona Virus or tested positive for Covid-19/Corona virus. Has NOT been exposed to COVID-19/Corona Virus or tested positive for COVID - 19/Corona virus. Liability Release By clicking yes you agree to NEXT PLAY 360 wavier/release statement: I consent and certify to release all liability from NEXT PLAY 360, Next Level Devlopment and its affiliates as it pertains to my attendance and participation in any NEXT PLAY 360 and/or Next Level Devlopment event. I further release all liability including injury or exposure of COVID-19 from NEXT PLAY 360,Next Level Devlopment and its affiliates. I do hereby waive, release, absolve, indemnify and agree to hold harmless NEXT PLAY 360,Next Level Devlopment and its affiliates for any and all claims arising out of injury to my child. Yes No Thank you!
