Please complete waiver and boxTarkanian Basketball Academy Las Vegas Tarkanian Basketball Academy
 

Phone: 702-871-0096

Tarkanian Basketball Academy
2730 S. Rancho
Las Vegas, NV 89102

Office Hours
Monday-Friday: 10:30am-2:30pm

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Parent Comments

"I have seen such an improvement in my son's game and in his behavior. I see TBA as an asset to the community and would recommend it to any parent who wishes their child to participate in a well structured youth basketball program."

Carrie Robinson (Son Jefferey)

Sponsors:

Event Registration

First Name

Middle Name

Last Name

Parent's Name

Address

City

State

     Zip

Gender  

Age

    Date of Birth

Phone

Cell Phone

E-Mail

School

Grade

WAIVER

I, the undersigned acknowledge the inherit risk involved in basketball and activities conducted on hardwood floors and all sports relating thereto.  Accordingly, in consideration of being allowed to participate in any activities and/or other activities at the Academy or any other assigned venues, I agree to the following:

(1) I acknowledge and fully understand that I will be engaging in activities that involve risk of injury;
(2) I agree that prior to participating in any activity I will inspect the competition area and all equipment to be used.  If I determine that anything related to that activity is unsafe, I will immediately advise my coach or an official of the venue of this unsafe condition and will not participate until this condition is corrected;
(3) I agree to assume all the foregoing risk and accept personal responsibility for my own damages following such injury, permanent disability or death;
(4) I release, waive, discharge and covenant not to sue licensor, Academy, and all respective agents, affiliates, associates, officers, directors, owners and employees (collectively “Releasees”) from demands, losses, or damages on account of any injury, death or damages to property, caused or alleged to be caused in whole or in part by my actions.
(5) I also understand that the exercise equipment located in the Court 3 area is not part of the Tarkanian Basketball Academy. No one is permitted to use the equipment in any manner without permission by Athletes Performance. I hereby instruct my child/ren not to play on or around the exercise equipment. I will be responsible for the repair and/or replacement of any and all equipment damaged resulting from the unauthorized use of said equipment by myself and/or my child/ren.
(6) I acknowledge and fully understand that I am to remain inside the Academy facility at all times during any scheduled event, league, skill session, camp and/or practice in which I am a participant and that I am not to exit the Academy building without direct supervision of my parent and/or guardian. If I do leave the Academy building I do so at my own risk and accept responsibility for my own damages as a result of my actions. TBA, it's employees, agents, owners, coaches, administrators are not responsible for children who leave the facility unaccompanied by their parent and/or guardian and who are not being supervised by their parent and/or guardian.
(7) I agree that all fees associated with my participation at Tarkanian Basketball Academy recreation leagues will be paid in full no later than the fourth week of the league unless other arrangements are made and agreed to in advance. I am aware that if my check is returned for any reason, I will be required to pay the full amount in addition to a $5.00 returned check fee via credit card, debit card, cash, or money order, and no further personal checks will be accepted for payment.
(8) I agree that Tarkanian Basketball Academy is not responsible for personal items left inside the facility and that the parent/child are responsible for the security of their own personal items.
(9) I agree that I will escort my child/children inside the TBA facility and escort them out of the facility when their event has concluded. TBA is not responsible for any child left unattended inside or outside of the facility and that parents and/or guardians are responsible for the supervision of all of their children at all times.


I, the undersigned parent or legal guardian have read the attached waiver and releases and agree to its terms on behalf of my child and myself.   I understand that by checking box below I am giving up substantial rights on behalf of my child and myself.


Playing Experience

Number of Years:

   Teams played on:  

Leagues played in:

Will you need to purchase a new uniform for this league

Uniform Size

Were you referred to the TBA by anyone?    

If yes, please identify:  

Event

Date:

Events

Date:

If signing up for more than one camp, please use next line to record all of the camp and date information, then when paying at the store you can pay for all camps together by adding the different camps to your basket.

Event

Date:

 
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