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 IGIEHON ELITE ACADEMY. In granting
this consent, the undersigned understands the physical nature of this sport and will not hold the IGIEHON ELITE ACADEMY and/or its employees responsible in the case of accident or injury as a result of child’s participation. By agreeing to form, you also provide consent to IGIEHON ELITE ACADEMY to use your child's email to communicate with them for the sole purpose of academy communications such as programs, updates and opportunities related to the academy

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

IGIEHON ELITE ACADEMY 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.
IGIEHON ELITE ACADEMY will be guided by current Government Covid-19 guidelines.

The undersigned parent/guardian understands that this completed form must be in the possession of IGIEHON ELITE ACADEMY prior to participation in this program.

NOTE: IGIEHON ELITE ACADEMY eMail address for all correspondence relating to Memberships: aidan@igiehoneliteacademy.com

June 23, 2024

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Signature Certificate
Document name: Consent Form
lock iconUnique Document ID: 53f66f73179d0bb22f06bd152c2f62db4743b4d5
Timestamp Audit
July 26, 2023 5:12 am ISTConsent Form Uploaded by Aidan Igiehon - aidan@igiehoneliteacademy.comq IP 75.104.68.71
July 26, 2023 1:48 pm ISTAidan Igiehon - aidanigiehon22@gmail.com added by Aidan Igiehon - aidanigiehon22@gmail.com as a CC'd Recipient Ip: 86.41.246.233
July 27, 2023 6:00 am ISTAidan Igiehon - aidanigiehon22@gmail.com added by Aidan Igiehon - aidanigiehon22@gmail.com as a CC'd Recipient Ip: 43.254.176.76
August 2, 2023 9:47 am ISTAidan Igiehon - aidanigiehon22@gmail.com added by Aidan Igiehon - aidanigiehon22@gmail.com as a CC'd Recipient Ip: 89.19.67.87
August 2, 2023 9:40 pm IST Document owner ryan.margolin81@gmail.com has handed over this document to aidan@igiehoneliteacademy.comq 2023-08-02 21:40:18 - 86.41.245.20
August 2, 2023 9:40 pm ISTAidan Igiehon - aidanigiehon22@gmail.com added by Aidan Igiehon - aidan@igiehoneliteacademy.comq as a CC'd Recipient Ip: 86.41.245.20