Waiver and Release for Participation in Exhibition Activities
(PLEASE READ CAREFULLY)
By signing this waiver and release, on behalf of my minor child/ward, or myself I agree that in return for
being allowed to participate in any way in the Harlem Globetrotters program, I acknowledge, appreciate,
and agree to the following:
I hereby represent to Harlem Globetrotters International, Inc. (“Harlem Globetrotters”), the organizers,
sponsors, including but not limited to CSC Brands, LLP (“Campbell’s”), supervisors, volunteers, other
participants, advertisers, officials, and, if applicable, owners and lessors of premises that I am in physically
sound condition, have no disability, illness or other condition preventing me from engaging or otherwise
participating in any basketball-related activity, other non-strenuous athletic activity or contest, or any other
promotional activity including without limitation, dancing, singing or other exhibition. If I am signing this
waiver and release on behalf of my child or ward, I represent that he or she is in physically sound
condition, has no disability, illness or other condition preventing him or her from engaging or otherwise
participating in any basketball-related activity, other non-strenuous athletic activity or contest, or any other
promotional activity including without limitation, dancing, singing or other exhibition.
I hereby understand and acknowledge that participation in the aforementioned activities involves certain
inherent risks and that regardless of the precautions taken by Harlem Globetrotters, Campbell’s, or the
participants, some injuries may occur. These injuries include but are not limited to: bruises, sprains,
strained muscles, broken bones, overexertion, dislocated joints or ligament injuries.
I fully understand, accept and assume any and all risks involved or in connection with the participation of
myself or my child/ward in the aforementioned activities. I promise and agree that neither the Harlem
Globetrotters, any of its affiliates, the organizers, sponsors, including but not limited to Campbell’s,
supervisors, volunteers, other participants, advertisers, officials, nor, if applicable, owners and lessors of
premises shall be held liable or responsible for any claims, damages, or losses arising out of or in
connection with my participation in the aforementioned activities.
If I am signing this waiver and release on behalf of my child or ward, I am voluntarily requesting permission
for myself and/or my son/daughter to participate, and I am hereby giving my approval of his/her
participation in any and all of the activities mentioned. I assume all the risks and hazards incidental to his
or her participation in the activities, and I, for myself, my spouse, my child, and on behalf of my/our heirs,
assigns, personal representatives and next of kin, do further release, absolve, indemnify, and hold
harmless Harlem Globetrotters, Campbell’s, the organizers, sponsors, supervisors, volunteers, other
participants, advertisers, officials, and, if applicable, owners and lessors of premises used to conduct the
game or exhibition for which I am allowing participation against any claims of injury or death. In case of
injury to my son/daughter, I hereby waive all claims against the Harlem Globetrotters, Campbell’s, the
organizers, the sponsors, or any of the supervisors appointed by them.
I hereby grant permission to the Harlem Globetrotters, and their agents to use and assign my or my child’s
name, voice photograph, interviews, image or likeness in any and all media, now known or developed in
the future, including without limitation, live or recorded audio, video or photographic display, internet other
transmission or reproduction, in whole or in part, for the purposes of promotion and publicity in perpetuity
throughout the world without compensation or obligation to me.
I acknowledge that I have carefully read this document in its entirety and understand that it is a release of
claims and a waiver of liability regarding my participation to the extent provided above, and I warrant,
represent, and agree that I have the full power and authority to enter into this agreement on behalf of
myself or my child, and that I accept it of my own free will.
Child’s name(s) _____________________________________________________________
___________________________________ __________________ __________
Parent/Guardian Signature Print Name Date
___________________________________ ____________________ ___________
Adult Participant’s Signature Print Name Date
Please Print out and sign then
return to Miss Amanda on 1/6
~Thanks