TOURNEY INFO

Coach's Email: *

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Registration Options *

1 Team Registration - $250

2 Team Registration - $400

3 Team Registration - $525

4 Team Registration - $600

5 Team Registration - N/A

Team Name(s): *

Coach's Name: *

Coach's Phone *

Injury Waiver & General Release Form

I understand and acknowledge that the Participant in the Mississippi Express Invitational, is exposed to a potential risk of body and person. I, hereby release the Mississippi Express Basketball Organization. and any of its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates from any and all liability for property damage, personal injuries or other claims arising from or in connection with his participation in The Tournament, including claims that are known or unknown, foreseeable or unforeseeable, future or contingent.

This release also provides the Mississippi Express Basketball Organization the absolute, irrevocable, and unconditional right and permission with respect to the photographs/video that they have taken of the Participant which may be included with others. The Tournament has the ability to use, to re-use, publish and republish in whole or in part, individually or in conjunction with other photographs, in any medium (including but not limited to print, video or digital formats) and for any purpose whatsoever, including but not limited to: illustration, promotion, advertising and trade.

I agree that I will not now or at any time in the future, directly or indirectly, pursue, commence or prosecute any action, suit or other proceeding against the Mississippi Express Basketball Organization and any of its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates; Thus, any action, suit or proceeding arising out of or relating to the actions, causes of action, claims or demands are hereby waived, released and discharged by me. I agree, consent and affirm, and, on behalf of Participant minor to be bound by this Injury Waiver and General Release Form.

I acknowledge that I have read and fully understand the attached Injury Waiver and General Release Form.

Address *