Waiver and Release Form

justGametime, Inc

Player's Last Name

Player's First Name

Email address

Address

City

State

Zip Code

Emergency Contact Name

Emergency Contact Phone Number

Waiver: Every participant must read this Waiver and Release Form. Each participant signing this form signifies that they have read, understands and abides by the information in this Waiver.

I understand that there are risks connected with my participation in this camp/league/tournament,event, and its related activities. I release, waive, discharge, and covenant not to sue justGametime, Inc. or Crossroads Church, event sponsors, event charities and their workers, employees and directors from all action, suits and demands whatsoever in law or in equity from demand, losses of damages on account of injury including death caused in whole or in part by the negligence of the release or otherwise.

Further, I hereby grant full permission for justGametime, Inc. or Crossroads Church and/or event organizers to record any or all of my participation in this event for photos, videos, TV, radio, website and/or other media known or unknown, and to use them in any manner for publicity, promotions, advertising, or commercial purposes, without any reimbursement of any kind due to me or the need to pay any fee. I understand that any false information submitted on this form will result in the forfeit of all monies. As a participant, I agree to play by the rules of the camp/league/tournament/events.

I hereby acknowledge that I have carefully read this "Waiver and Release" and fully understand that it is a release of liability.

By signing this form, I further acknowledge that all information about me is correct.

Signature

Date

THIS WAIVER AND RELEASE OF LIABILITY SHALL REMAIN IN EFFECT FOR THE DURATION OF MY PARTICIPATION IN THE ACTIVITY, DURING THIS INITIAL AND ALL SUBSEQUENT EVENTS OF PARTICIPATION.