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                                                | Medical Waiver and Release of Liability 
 Medical Waiver and Release of Liability (This form must be signed by the parent/guardian
                                                                    of each player before player is eligible to participate in tournament )I, the above
                                                                    signed, hereby authorize any first aid, medication, medical treatment or surgery
                                                                    deemed necessary in case of an emergency for the above player Midwest Basketball Tournaments
                                                    tournament play. I, the above signed, in consideration of the players participation
                                                                    in Midwest Basketball Tournaments tournament, intending to be legally bound, do
                                                                    hereby ourselves, executors, and administrators waive, release, and forever discharge
                                                                    any and all rights and claims for damages, including any claims for loss, damages
                                                                    or injury to our persons or property arising out of the above player's performance
                                                                    or failure of performance from the Midwest Basketball Tournaments, their agents,
                                                                    representatives, successors and assigns.
 
 
 
	
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                                                | Agree To Terms - Digital Signature 
 As Coach/Team Representative, I certify that the information within is correct to
                                                                    the best of my knowledge. I understand that should a protest arise concerning the
                                                                    eligibility of any players participating on my team, that it will be necessary that
                                                                    proper documentation (i.e. Birth Certificate, Report Card) be made available verifying
                                                                    the player's eligibility in the age group in which that player is participating.
                                                                    It is understood that should one of my players be found ineligible, that the player
                                                                    will not be able to continue participating in the tournament. I understand that
                                                                    the team I represent is responsible for proof of insurance coverage.
 
 Coach, Player, Parent, Fan Conduct:  I also certify that I have read and understand Midwest Basketball Tournament's stance regarding Coach, Player, Parent and Fan Conduct under Section II - 11 of the Midwest Basketball Tournament Grade Division Rules, Registration Requirements and Game Rules and understand and acknowledge that any violation of Midwest Basketball Tournament's stance regarding Coach, Player, 
                                                    Parent and Fan Conduct will result in Individuals and/or the Teams expulsion from the tournament and future tournaments.
 
 
	
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				|  | * Required |  |  Please Enter Representative Name:
 
	
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                                                | Security Verification 
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