Register for MLK Clinic Player's Name* First Last Grade*School*Town & State of Residence*Parent Cell Phone*Parent Email* Payment InformationClinic Cost Price: $95.00 Method of Payment*I will pay by check or cash at the door.Release & WaiverRelease & Waiver Agreement*I hereby agree to indemnify and hold harmless Hoop Dreamz LLC its parent, subsidiary and affiliated entities and/or any officers, partners, members, directors, coaches, employees, servants, agents, licensees and assigns of any of the foregoing, from and against any and all suits, awards, claims, damages, liabilities, costs and expenses (including reasonable attorney fees and related costs) arising out of injury or damages to my child, in connection with his/her participation in any Hoop Dreamz program. I hereby authorize Hoop Dreamz to act for me according to their best judgment in any medical emergency situations. I Agree NameThis field is for validation purposes and should be left unchanged.