WAIVER

DECLARATION OF HEALTH
I declare that I am in good physical and health to participate and compete in the 6th World Maxibasketball Championship Games (WMBCG) in Ljubljana. I acknowledge that I am aware of all risks inherent in masters training and competition and that I accept personal responsibility for any injury, accident or illness, including possible permanent disability and death, that I may suffer during the Games.

MEDICAL RELEASE
In the event I sustain an injury or illness while participating in the games, I hereby authorize attending medical personnel to perform and administer such emergency and non-emergency medical attention as they, in their absolute discretion, deem necessary or desirable. I also consent to emergency and non-emergency treatment for myself and attending medical personnel to delegate any necessary treatment to any other medical practitioner nominated for that purpose. I hereby release all attending medical personnel from any and all claims, damages, and liability arising out of acts or omissions in connection with delivery of emergency or non-emergency medical treatment to me. Medical transport, medical costs and other medical services are paid by myself. The Organization Committee of the WMBCG is not accountable for my injuries, damages and/or my health consequences.

MEDIA RELEASE
I hereby grant WMBC Games 2001 Organizing Committee and the International Maxibasketball Federation and their licenses the unconditional right to use, record, publish, broadcast and otherwise exploit at its discretion in any form of media, art advertising, trade, visual documentary, promotional material, merchandise or film coverage of any kind, my performance in the Games and to use my name, likeness, voice and biographical in connection therewith, without compensation to me. I also waive the right to inspect and/or approve the Slovenian product or the copy that may be used in connection therewith, or the use to which it may be applied.

OBSERVATION OF RULES
I agree to abide by all rules and regulation issued by 6th WMBC Games 2001 and to observe all written and oral instructions given by authorized personnel at the Games. I agree that failure to comply with the designated rules may result in my disqualification from the Games.

PROOF OF AGE
I acknowledge and agree that the players in each category of the Games must have reached the respective age before or during the calendar year 2001. I accept that I will be required to provide proof of age in order to receive my credentials and participate in the competition.

GENERAL WAIVER
As a condition of my participation in the 6th WMBC Games 2001, I hereby waive, on my own behalf of my estate or personal representative, any and all claims for loss or damages arising out of my participation in the Games, including all claims for loss or damages caused by negligence, active or passive, of the following; any officers, directors, agents, representatives, volunteers or employees of the 6th WMBC Games 2001 and the International Maxibasketball Federation, or the host facilities, meet sponsors, meet committees, attending medical personnel, or any individuals officiating at the meets or supervising such activities.

I registered voluntarily in the 6th WMBC Games 2001 and I am the only person responsible for any material or moral damage, injuries, permanent disability and/or death, that I cause for others or to my person, releasing and forever discharging, for myself, my heirs, executors, administrators and assigns do hereby remise the Organizing Committee of the 6th WMBC Games 2001, the International Maxibasketball Federation and its employees, directors, assistant, persons or bodies corporate, members, sponsors, other persons or entities participating in or connected with them, of and from all manner of actions, cause of actions, claims of liability or demands in the present or future against them, for or by reason of entering and competing.

I hereby certify that I have read and understand the above waiver of the 6th WMBC Games 2001, and I will abide by the said terms and conditions as stated above. I hereby acknowledge that I am signing this document voluntarily.

Please print:


Team: ________________________________

Category: ___________

Country: _________________________________

First name and Surname: ________________________________________

Birth Date (DD/MM/YY): ______________

Date (DD/MM/YY): _________________

Passport number: ____________________

Signature: __________________