Please check this box if this is your first NGBA tournament

The main contact and leader of the team

Registration

Waiver

The National Gay Basketball Association (NGBA) implemented a COVID-19 policy effective August 16, 2021 for the West Coast Classic tournament from January 14-16, 2022 Tentative.  The new policy requires a negative Covid-19 test 48 to 72 hour before the tournament for all unvaccinated participants. In accordance with NGBA's duty to provide and maintain a safe environment, the board of directors (BOD) adopted the mandatory policy to safeguard the health of its membership, member’s family, spectators, supporters, and the basketball community at-large from Covid-19. In making this decision, the executive leadership team received recommendations from Infectious Disease Specialist Dr. Henry Neumann, MD,  Shane Gallagher NP, and Dr. Trong Nguyen, who unanimously recommended this policy. The BOD also considered guidelines provided by the Centers for Disease Control and Prevention, and we will continue to monitor the state and local requirements. https://covid.cdc.gov/covid-data-tracker/#cases_community.

All players and spectators must receive the first (one dose shot) or(second) vaccination no later than January 1, 2022 to not be required to get the PCR covid test no more than 3 days before the event. 

Again, players who choose to not get the vaccine are required to produce a negative COVID-19 test 48 to 72 hours prior to the event.  Vaccinated players must supply a record of vaccination. 

Should you have any questions regarding this  policy, please contact NGBA Commissioner Darius Binion at: [email protected].

MEDICAL

The National Gay Basketball Association strong suggest each player have an annual physical exam to ensure that your health will allow you to participate in the sport of basketball safely.  

If you have not seen your doctor recently, we encourage you to do so ASAP.

Medical Release and Authorization

As the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact my emergency contact in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach my emergency contact.

Permission is also granted to the National Gay Basketball Association and its affiliates including Directors, trainers, medical professional to provide the needed emergency treatment prior to the players admission to the medical facility.

Release authorized on the dates and/or duration of the registered tournament.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named player.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Informed Consent and Acknowledgement

RELEASE OF LIABILITY FORM PARTICIPANTS AND SPECTATORS
In consideration of being allowed to participate in any way in the National Gay Basketball Associations, events, and activities, the undersigned acknowledges, appreciates, and agrees that:

1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS the National Gay Basketball Associations,JAM ON IT, Sin City Sports CLASSIC , their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leaser of JAM ON IT , used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

5) I do agree that“ Any and all commercial use or distribution of any visual (photography and video) footage from this private event is strictly prohibited without the expressed written consent from the National Gay Basketball Association.

6) I also understand that the NGBA does not allow participants to play under the influence of drugs and or alcohol.
I understand and agree that I am responsible for my use of adult beverages, marijuana, and other mind altering substances prior to playing in a game. I also understand that if I smell of alcohol or marijuana it is up to the discretion of the tournament director and the NGBA board to remove me from participation in the event until the tournament director and the NGBA board agree you are no longer under the influence.
7) (a) the novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization;
(b) COVID-19 is extremely contagious;
(c) the state of medical knowledge is evolving but COVID-19 is believed to be spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air;
(d) it is believed that an individual can be infected with COVID-19 without their knowledge and be asymptomatic and spread the disease to other persons;
(e) the exact methods of spread and contraction are unknown, and there is no known treatment, cure, or vaccine for COVID-19; (f) the circumstances regarding COVID-19 are changing from day to day and I am responsible for familiarizing myself with the most recent updates;
(g) NGBA cannot guarantee that I or anyone else will not become infected with COVID-19, including myself and my family;
(h) participation in NGBA Activities could INCREASE the risk to myself and my family of contracting COVID-19; and
(i) Evidence has shown that COVID-19 can cause serious and potentially life threatening illness and even death. I have read and understood the above warnings concerning COVID-19 and ACKNOWLEDGE the contagious nature of COVID-19 and FULLY ASSUME THE RISK that I may be exposed to or infected with COVID-19 by participating in NGBA Activities, and that such exposure or infection may result in SERIOUS PERSONAL BODILY INJURY, ILLNESS, PERMANENT DISABILITY AND/OR DEATH TO MYSELF AND/OR MY FAMILY. I further ACKNOWLEDGE AND FULLY ASSUME THE RISK that becoming exposed to or infected with COVID-19 may result from the actions, inactions, omissions and/or negligence of myself or others, including but not limited to THE RELEASEES NAMED BELOW. I UNDERSTAND AND FULLY ACCEPT AND ASSUME ALL of the foregoing risks related to COVID-19 and accept sole responsibility for any injury or illness that may occur. Further, I UNDERSTAND AND AGREE that this release includes any claims based on the actions, inactions, omissions and/or negligence of the RELEASEES named below, whether a COVID-19 infection occurs before, during or after participation in any NGBA Activity or Activities.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.



$57.00
$57.00

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