Providence College Athletics

Date of Clinic: 10/15/22
 
Description of Activity: Youth Basketball Clinic
 

The undersigned requests (on behalf of him/herself or his/her child) and is granted permission to participate in an Activity

at and/or sponsored by Providence College as described above. The undersigned acknowledges and fully understands

that there are or may be hazards and risks incident to participation in this Activity, including risk of serious injury or death,

and including losses that may result not only from the Participant’s own action, inactions or negligence, but also from

the actions, inactions, or negligence of others and/or from the condition of the facility, fields, equipment, or areas where

the Activity is being conducted, and/or related to the specific type of Activity, and understands that Providence College

assumes no responsibility of any nature whatsoever for the actions of Participant or any other person or entity involved

in this Activity.

In consideration for permission to participate in this Activity, the Participant, who is 18 years of age or whose parent/legal

guardian hereby consents to his/her child’s participation as indicated by signing this Waiver Form, on behalf of the

Participant and his/her heirs, executors, administrators, personal representatives, successors, and assigns, releases,

forever discharges, and indemnifies and holds harmless, Providence College, its trustee, administration, faculty,

employees, staff, students, agents, successors, and assigns (hereinafter referred to collectively as “Providence College”),

from and against any and all manner of action or actions, cause or causes of actions, suits, debts, sums of money and all

other claims and demands whatsoever in law or equity which Participant now has, or ever had, or in the future may have,

against Providence College, arising out of or in any way associated with, whether directly or indirectly, participation in

this Activity at and/or sponsored by Providence College, or for contribution or indemnification with respect to any claim

made against the Participant by any other person or entity in connection with the Activity.

The undersigned certifies that the Participant is in good health and has no physical condition that would prevent

participation in this Activity. The undersigned certifies that the Participant is covered by a health insurance plan for any

injury or accident that may occur while participating in or in conjunction with this Activity and that such insurance plan

shall constitute the medical coverage for treatment if an accident or injury occurs. The undersigned understands and

agrees that Providence College does not assume responsibility for the payment of health care not covered by the

Participant’s health insurance plan. Participants who are Providence College students understand that the College’s

Student Health Center may not be able or equipped to provide medical care for any injury resulting from participation in

this Activity. In the event that the Participant requires emergency medical treatment, the undersigned hereby consents

to such emergency treatment.

The undersigned understands that the release and hold harmless provisions contained in this Waiver Form are intended

to be as broad and inclusive as permitted by the laws of the State of Rhode Island. Participant agrees that if any portion

of this Waiver Form is held invalid, the remainder will continue in full legal force and effect. Participant further agrees

that the exclusive venue for any legal proceedings shall be in the State of Rhode Island and that the terms of this Waiver

Form are contractual and not a mere recital.