WAIVER & INDEMNITY

I, THE UNDERSIGNED INDIVIDUAL, AGREE TO OBTAIN AT MY EXPENSE AND FOR MY OWN BENEFIT, DISABILITY, MEDICAL, HOSPITALIZATION AND LIABILITY
INSURANCE COVERAGE COVERING MYSELF IN SUCH AMOUNTS AS I SHALL DETERMINE, BUT IN ANY EVENT WHICH SHALL BE SUFFICIENT TO COVER AND PROTECT
ME FROM ANY AND ALL INJURIES, DAMAGES, CLAIMS AND LOSSES WHICH I MIGHT INCUR, OR FOR WHICH I MAY BE RESPONSIBLE IN, PARTICIPATING, AT THE
NEW ENGLAND COLLEGE OFFICIATING CAMP RUN IN CONJUNCTION WITH BASKETBULL’S, MEN’S BASKETBALL SUMMER CHAMPIONSHIPS TEAM CAMP AND IN
TRAVEL TO AND FROM SUCH TOURNAMENT(S) AND SHALL SUBMIT PROOF OF SUCH INSURANCE TO CAMP DIRECTOR, LARRY LAST. I FURTHER HEREBY AGREE TO
HOLD HARMLESS AND INDEMNIFY LARRY LAST, NEW ENGLAND COLLEGE OFFICIATING LLC, BASKETBULL, NECO’S CAMP COORDINATORS AND STAFF, FROM ALL
LIABILITY FOR ANY INJURY DAMAGE OR LOSS SUSTAINED AS A RESULT OF MY ACTIONS (OR INACTIONS) IN, PARTICIPATION AT SUCH CAMP AND IN THE
PERFORMANCE OF OFFICIATING SERVICES, INCLUDING WITHOUT, LIMITATION, ALL CLAIMS FOR MEDICAL EXPENSES WHICH I MAY INCUR, OR OTHERWISE, DUE
TO MY FAILURE TO, OBTAIN AND/OR MAINTAIN SUCH APPROPRIATE INSURANCE COVERAGE.