WHEREAS, The Ground Up Training LLC and its directors, officers, employees, agents, licensees,
successors, assigns, and/or any third parties designated by Ground Up Training, separately and jointly
hereafter referred to as "GUT."
I/We (individually or jointly), as parent (s)/legal guardian(s) of the below-named student, agrees to the following:
General Authorization
1. That I/We have enrolled the below-named athlete at GUT for basketball training and that it is
understood that from time to time it will be necessary for GUT to arrange for the services of
independent contractors to manage and operate GUT as a basketball training and instruction
institute, and do hereby at all times hold harmless, discharge and release GUT from any and all
liability for injury, loss, damage, obligation, expense, or penalty sustained by the above-named
student arising out of or in connection with the above-named student's participation at GUT;
2. That I/We acknowledge that the below-named student will be physically touched from time to
time during his/her dance training and instruction and will not hold GUT liable for such physical
touching;
3. That I/We authorize GUT to photograph, film, videotape, record or otherwise capture in any
media the below-named student's basketball training, instruction, and performances and to use
such recordings for instruction, promotion, publicity and broadcast uses. All ownership and
copyright, title and interest in these recordings shall belong to GUT. I/We further grant GUT the
right to use the above-named student's name and bio, portrait, picture, likeness and recordings
thereof for the purposes of advertising, publicizing, and promoting GUT;
4. That I/We authorize GUT or GUT's physician or nurse, if any, to provide or authorize medical
care for the above-named student as needed or requested. In cases of emergency, GUT is
authorized to arrange for medical services and consent to appropriate medical and surgical
service recommended by licensed medical professionals. I/We accept full responsibility for all
costs of the medical care and any emergency treatments. GUT will not be responsible for the
payments for any medical care or emergency treatments, but will accept billing in its name only
to facilitate submission of medical insurance claims for the above-named student, if applicable,
or for the prompt forwarding of bills to me/us;
5. That I/We agree that GUT will not be liable for authorizing medical treatments for the below-
named student pursuant to my/our authorization in paragraph 4 above and waive all claims
whatsoever in connection with such medical treatments. I/We agree that GUT will not be liable
for and agree to hold GUT harmless from any liabilities, losses, injuries, damages or expenses
related to the below-named student's participation in any of the activities at GUT and from the
Student's enrollment at GUT generally. Any and all claims against GUT are waived. Any damage
and harm by the below-named student will be the responsibility of the parent/legal guardian;
6. That I/We authorize the below-named student to participate in any GUT sponsored or related
activities or excursions, whether held on DADA grounds or otherwise, including recreational,
educational, and cultural activities. In arranging for such activities or excursions with third parties
I/We acknowledge and agree that GUT is acting as the agent for the student;
7. That I/We agree, if GUT incurs legal fees and expenses in connection with the enforcement of
this "Ground Up Training Summer 2024 Contract" to pay or reimburse GUT for all such
reasonable costs within thirty (30) days after receiving written notice of such charges;
-AWARENESS OF RISK
STUDENT AND PARENT - Pursuant to Section 2 of the Agreement, I acknowledge that participating in
rigorous and athletic professional training can be a dangerous activity involving many risks of injury
ranging from minor to major to catastrophic injuries.
- PERMISSION FOR TREATMENT
Consistent with Section 5 of the Agreement, I hereby grant permission to the staff of GUT, or in their
absence any adult accompanying or assisting GUT, to administer or cause other to administer medical
treatment in the event of an injury. In the event of a serious injury, if I am unable to give my consent at
the time, this consent is to include any and all emergency procedures deemed necessary by the
attending emergency personnel. I also understand that in the event of injury, every reasonable attempt
will be made to contact me prior to securing medical treatment beyond basic first- aid.
- AUTHORIZATION TO ADMINSTER OVER-THE-COUNTER (OTC) MEDICINE
***NOTE: The Parent/Guardian must elect to either grant or deny permission to administer
OTC medicine to the Student. If neither choice is indicated by the Parent's initials (or if both choices are
indicated), DADA will assume that the Parent does not want OTC medicine to be given to the Student.
1. I hereby GRANT permission to the staff of GUT, or in their absence any adult accompanying or
assisting GUT, to administer over-the-counter medicine (commonly. known as "OTC medicine")
to relieve minor aches, pains, and discomfort, including, but not limited to, headache medicine,
oral and topical pain relievers, and fever reducers.
2. I hereby DENY permission to the staff of GUT, or in their absence any adult accompanying or
assisting GUT, to administer OTC medicine to relieve minor aches, pains, and discomfort,
including, but not limited to, headache medicine, oral and topical pain relievers, and fever
reducers.
- Indemnity And Waiver Of Claim:
I, the undersigned, Parent/ Lawful Guardian of the below named
Student, hereby acknowledge that as a condition of the Student leaving the premises, agree to
indemnify and hold harmless agreement the Ground Up Training Camp, its employees, agents, officers,
directors, faculty, staff, volunteers, successors and assigns from any liability., lawsuit, cost, expense, or
claim of any type whatsoever (including legal fees) for any harm, injury, or death arising out of my. child
leaving GUT premises unsupervised and/or with the aforementioned authorized persons.
-Late Pick-Up Guidelines
Your child must be picked up no later than 2:30 PM. A late fee of $1.00 per minute will be charged for
late pick-ups, starting at 2:31 PM, based on the Ground Up Training Camp’s clock.
Chronic late pick-ups will not be tolerated. Please be considerate of our staff in following the program
times, with the exception of an extreme emergency. If parent or authorized adult will be late, it is their
responsibility to notify us as soon as possible by contacting us at 818-929-1412. We understand that
emergencies arise. We also understand that traffic can be challenging or hectic, but we expect all children to be picked up on time. Traffic issues do not excuse the late fee that will be charged.
