Knock Out : A World Record-breaking Attempt at USC Aiken

March 1, 2014, 1 p.m. at the USC Aiken Convocation Center

Join us as we attempt to break the world record for most participants in a single game of basketball knockout ever!

Free t-shirt for the first 600 registrants!

Participants are required to wear tennis shoes only.

Name
Email Address
Primary Phone Number
Age
Under 18 years old?
Yes
No
T-shirt Size

Publicity Disclaimer

I, the participant (and guardians) hereby grant and convey unto USC Aiken all rights, title, and interest in any and all photographic images and video or audio recordings made by USC Aiken during the participant’s activities with USC Aiken, including but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.

I have read and agree to the publicity disclaimer.

Injury Waiver

USC Aiken recognizes the participation in “Knockout” as a proper extracurricular educational activity. Because this activity may require physical activity with risk of personal injury or damage to property, it is the policy of USC Aiken to require participants to execute this Release Form. As conditions of participating in this activity, I agree to the following:

(1). In consideration of being granted the opportunity to participate in this activity I do hereby release and forever discharge all officers, fellow students, employees, and all faculty members, employees, and agents of USC Aiken who arranged, advised, or supervised the scheduling, travel, or any other function of this activity for myself and my heirs, executors, administrators and assigns from all claims, demands, actions, and causes of action for personal injury or any other damage now existing or which may arise out or be in anyway related to their negligence or other conduct associated with this activity.

(2). I do also agree to acquire or to maintain to enforce a policy or policies of health and accident insurance during the period of my participation in the above-described activity. Such insurance shall be through an insurance company authorized and licensed to do business within the State of South Carolina and shall provide coverage similar to that coverage obtainable by student through the University.

I have read and I do fully understand all of the above provisions. I attest that I am at least 18 years of age or, if I am under 18 years of age, I have informed my parents of the above conditions.