I, the parent or guardian of the above named child, hereby consent to his/her participation in the Fastbreak program. I certify that he/she is in good health and able to participate in all activites and in the case of emergency affecting my child, I hereby give permission for physician or hospital designated by Fastbreak to administer treatment to my child. I (am/am not) enclosing a note explaining any physical limitations and required medicine. In consideration of Fastbreak accepting this registration and permitting the participation of said child, which I believe would be educational, physical and beneficial, I hereby release, discharge, indemnify and hold harmless Fastbreak its officials, coaches and representatives from any and all claims, actions and liabilities arising out of or in connection with the child’s participation in any aspect of Fastbreak. I also give permission to Fastbreak to use photographs and/or endorsements of above named child and/or parents in its future brochures, websites or promotional material. ABSOLUTELY NO REFUNDS, TRANSFERS, OR CREDITS

I certify that my child has no known medical or other conditions that could interfere with his/her participation in Fastbreak’s activities. I also understand and accept that the practice of all Fastbreak sports involves certain risks of physical injury. Therefore, I, individually and on behalf of my child listed above, hereby release, discharge, and hold harmless Fastbreak and each of its respective parent, subsidiary, and affiliated companies, and each of their respective officers, directors, agents, representatives, employees, successors, assignees, and licensees (hereinafter, “the Released Parties”) from any and all claims, actions, damages, losses, liabilities, costs and expenses of any kind whatsoever, including but not limited to any claims of negligence, arising out of, resulting from, by reason of, or in connection with my child’s participation in any Fastbreak program or activity. I agree that I will not bring or be a party to any legal action or claim against the Released Parties, or any of them, based upon or arising out of my child’s participation in any Fastbreak program or activity on any legal theory whatsoever (including without limitation personal injury, negligence, rights of privacy and publicity, or defamation).

I understand and agree that Fastbreak has the right to terminate the enrollment of any child from Fastbreak if it, in its sole discretion, determines that the continued attendance of the child in the program is not in the best interest of the child nor the program. I agree to supervise or designate a responsible adult to supervise my child prior to and immediately after his/her Fastbreak activities. Fastbreak and its agents reserve the right to take and utilize photographs, video, or any type of recording of participating children and their parents, caregivers, or anyone accompanying them to Fastbreak while engaged in our classes or associated activities. I consent to Fastbreak’s use the photograph, video, or recording of my child, me, or the guardian I have designated for advertising, promotional, or related purposes, and waive all rights to compensation and other rights which may arise as a result (including any rights under N.Y. Civil Rights Law 50).

After enrollment there is a no refund cash policy, however, in the event you decide to withdraw your child before the second class we will work a prorated credit to any of the Fastbreak programs(minus a $50 administrative fee). No refunds/credits thereafter. In the event that you decide to withdraw your child from the program, you must notify the Fastbreak office no less than 24 hours after the first class of the pertinent period, and are responsible for all charges until you do so. No refunds for missed classes. We reserve the right to cancel classes due to low enrollment. If paying by check, please make payable to Fastbreak Sports for the full amount of the session’s fee and bring with you to your first class.

Your child’s spot will not be confirmed in the class until payment has been received. Children MUST wear sneakers or they will not be allowed to participate in class. Sweatpants or shorts are recommended. Fastbreak is not responsible for your personal belongings; please keep your items with you at all times. Fastbreak will provide a jersey for each child, and we ask that all children wear them to class.