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RELEASE & WAIVER:

I hereby and herein authorize the Directors of the Pioneer Basketball Camp, LLC, or any agents working on their behalf, to act in my stead for the purpose of acquiring emergency medical attention for my son/daughter or ward. I impose upon the assumptors of this duty the responsibility to act with reasonable care and caution and release and waive all liability for any injuries and illness incurred while at the camp in the event same is performed pursuant to such standard. By my electronic signature hereunder, I warrant that my son/daughter or ward is in good physical condition, has no undisclosed medical problems, illnesses or disabilities, and is capable of full and active participation in the basketball camp. I also represent that my son/daughter or ward has received a physical within the last year and is medically competent to participate in the activities at camp. I further agree to pay through my insurance company or otherwise for any medical treatment that may be necessary.

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