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WAIVER OF LIABILITY RELEASE FORM – CONSENT FORM

PLEASE NOTE: YOU MUST AGREE TO THIS FORM TO PROCEED WITH REGISTRATION APPLICATION.

You will be directed to a payment page after this for annual membership payment

The undersigned parent/guardian of , hereby grant permission
for him/her to participate in the sport of basketball and related activities with WEXFORD BASKETBALL CLUB. In granting
this consent, the undersigned understands the physical nature of this sport and will not hold the WEXFORD BASKETBALL
CLUB and/or its employees responsible in the case of accident or injury as a result of child’s participation.

The undersigned further hereby permits and authorizes the CLUB to use photos and videos of their child, which may
occur, for various publications (i.e. social media or website) to promote the WEXFORD BASKETBALL CLUB.

WEXFORD BASKETBALL CLUB will follow all GDPR guide lines with regard to storing personal information. Personal
information will NOT be used for external marketing purposes, but purely in relation to club fixtures and events.

COVID-19: Participants should NOT come to training sessions or matches, if they have any symptoms of Covid-19.
Wexford Basketball club will be guided by current Government Covid-19 guidelines.

The undersigned parent/guardian understands that this completed form must be in the possession of WEXFORD
BASKETBALL CLUB prior to participation in this program.

NOTE: Wexford Basketball Club eMail address for all correspondence relating to Memberships: registrar@wexfordbasketball.ie

August 27, 2026

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April 4, 2023 6:23 am IST

Consent Form Under 18 Uploaded by Wexford Basketball Club - registrar@wexfordbasketball.ie IP 86.40.166.62