I hereby authorize the staff of Luke Walton and Richard Jefferson Summer Basketball Camp to act according to their best judgment in any emergency requiring medical attention. I hereby waive and release camp facility, Luke Walton and Richard Jefferson Summer Basketball Camp and Staff, JLR, LLC, Alliant University, and any sponsors thereof from any and all liability from any injury or illness suffered prior to or while at the camp. I have no knowledge of any physical impairment that would effect my child's participation in the camp program. I am responsible for camp fees and I understand that no refunds will be made for reasons of absence, illness or suspension or withdrawal. I also agree that the Luke Walton and Richard Jefferson Summer Basketball Camp and its staff may take pictures/video of my child participating in the camp activities and may use any such pictures/video in any and all future promotional materials without my further consent.

I agree to above authorization