Pittsburgh Registration

Try Shoot 360

Pittsburgh

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Early registration speeds up your check-in process on the day of your visit.

Pre-registration is required. After registration, a Shoot 360 team member will call to schedule your visit. For children under 18, a legal guardian must be present at the time of the visit.
Athlete Information
Athlete Name
N/A

Required First Required Last
Athlete Birthday *
N/A

MM/dd/yyyy
Athlete Age
N/A
Athlete Gender Identity *
N/A

Male
Female
Other
I'm interested in... *
N/A
Team Affiliation
N/A

School District / College Grade / Play Level
Parent / Guardian Name (if under 18)
N/A

Required First Required Last
Contact Information
Primary Contact Email *
N/A
Primary Contact Phone *
N/A

To be used for emergency contact and text communications
Address
Country *
N/A
Street Address *
N/A
Address Line 2
N/A
City *
N/A
State (United States) *
N/A
ZIP / Postal Code *
N/A
Interest
Please Share Your Interest in Shoot 360
N/A
How did you hear about us? *
N/A

Shoot 360 Guardian Waiver Form *
N/A

Release and Disclaimer on Behalf of Minor

I am the parent or legal guardian of the minor (filled out below). As lawful consideration for being permitted to participate in the East Coast Basketball Technology LLC (“Shoot 360”) gym Shoot 360 activities, camp, and/or clinic, I, intending to be legally bound, agree and acknowledge that:
1. The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) to my child from the activities involved in these activities, camp or clinic are significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and,
2. FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my child’s participation; and,
3. I willingly agree to comply with Shoot 360’s stated and customary terms and conditions for participation. If I observe any unusual or significant concern in my child’s readiness for participation and/or in the program/activities themselves, I will remove my child from the participation and bring such attention of the nearest company representative immediately; and,
4. I for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Shoot 360, its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, activities, camp or clinic (“Releases”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property incident to my child’s involvement or participation in these activities, camp or clinic WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
5. I agree that I for myself, my spouse, and my child, will not make a claim against, sue, attach the property of or prosecute Shoot 360 and their agents, sponsors and employees for damages for death, personal injury or property damage which my child may sustain as a result of his/her participation in these sporting activities, camp or clinic.
6. I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releases from any and all liabilities incident to my and my child’s involvement or participation in these activities, camp or clinic, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
7. I attest that my child is physically fit and has no known medical conditions which prohibit participation in this sport.
8. I, the parent/guardian, assert that I have explained to my child/ward: the risks of the activity, his/her responsibilities for adhering to the rules, guidelines and regulations, and that my child/ward understands this Agreement.
9. I understand and agree that I, on behalf of my child, am solely responsible for the mechanical and/or operating condition of any and all sporting equipment my child uses, and I agree to continuously inspect and maintain that equipment, even if I have obtained any of the equipment from Shoot 360, their agents, sponsors and/or employees.
I, FOR MYSELF, MY SPOUSE, AND CHILD/WARD, HAVE CAREFULLY READ THIS RELEASE AND DISCLAIMER AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT..I also agree that SHOOT 360 and their agents, sponsors and employees may use my child’s photograph in future promotions and for public display on SHOOT 360 Leader Boards.

UNDERSTANDING OR RISK
I understand the seriousness of the risks involved in participating in this activity, camp or clinic, my personal responsibilities for adhering to rules and regulations, and accept them as a participant.

Parent/Guardian Acknowledgement of Disclaimer
Shoot 360 Adult Waiver Form *
N/A

Release and Disclaimer for Adult 18 or Older

I am an adult 18 or older. As lawful consideration for being permitted to participate in the the East Coast Basketball Technology LLC (“Shoot 360”) activities, camp, and/or clinic, I, intending to be legally bound, agree and acknowledge that:
1. The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) to me from the activities involved in these activities, camp or clinic are significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist.
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation.
3. I willingly agree to comply with Shoot 360’s stated and customary terms and conditions for participation. If I observe any unusual or significant concern for participation and/or in the program/activities themselves, I will remove myself from the participation and bring such attention of the nearest company representative immediately.
4. I for myself, my spouse (if applicable), and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Shoot 360, its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, activities, camp or clinic (“Releases”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property incident to my involvement or participation in these activities, camp or clinic WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
5. I agree that I for myself and my spouse (if applicable), will not make a claim against, sue, attach the property of or prosecute Shoot 360 and their agents, sponsors and employees for damages for death, personal injury or property damage which I may sustain as a result of my participation in these activities, camp or clinic.
6. I, for myself and my spouse (if applicable), and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releases from any and all liabilities incident to my involvement or participation in these activities, camp or clinic, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
7. I attest that I am physically fit and have no known medical conditions which prohibit participation in this sport/activity.
8. I agree to follow all laws, rules and guidelines regulating conduct and participation with Shoot 360.
9. I understand and agree that I am solely responsible for the mechanical and/or operating condition of any and all sporting equipment I use, and I agree to continuously inspect and maintain that equipment, even if I have obtained any of the equipment from Shoot 360, their agents, sponsors and/or employees.
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND DISCLAIMER AGREEMENT BETWEEN MYSELF AND SHOOT 360 AND THEIR AGENTS, SPONSORS AND EMPLOYEES. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.I also agree that SHOOT 360 and their agents, sponsors and employees may use my photograph in future promotions and for public display on SHOOT 360 Leader Boards.

UNDERSTANDING OR RISK
I understand the seriousness of the risks involved in participating in this activity, camp or clinic, my personal responsibilities for adhering to rules and regulations, and accept them as a participant.

Acknowledgement of Disclaimer
Guardian Photo and/or Image Disclaimer
N/A

(Optional- Photograph Opt Out) I accept the terms laid out in this Agreement except for allowing SHOOT 360 and their agents, sponsors and employees to use my child’s photograph in future promotions or for public display on SHOOT 360 Leader Boards.

I Opt Out
Adult Photo and/or Image Disclaimer
N/A

(Optional- Photograph Opt Out) I accept the terms laid out in this Agreement except for allowing SHOOT 360 and their agents, sponsors and employees to use my photograph in future promotions or for public display on SHOOT 360 Leader Boards.

I Opt Out
First and Last Name of Child *
N/A
First and Last Name of Parent/Guardian *
N/A
First and Last Name *
N/A
Parent/Guardian Signature *
N/A

E-Signature Field
Clear
Signature *
N/A

E-Signature Field
Clear
Date Signed *
N/A

MM/dd/yyyy
Facility *
N/A
Lead Status *
N/A
Shoot 360 Sync State *
N/A
STS_ENVIRONMENT *
N/A
STS_External_ID
N/A
N/A

Guest Registration Guest Registration
Today's Date *
N/A

MM/dd/yyyy
Contact Type *
N/A

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Athlete Information

Contact Information

Address

Interest

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