Summer Hoops Release Form

For good and valuable consideration, receipt of which is hereby acknowledged, I, as a parent or legal guardian of the Participant named above, hereby forever release and discharge: (i) Pacers Basketball, LLC d/b/a the Indiana Pacers, Pacers Sports & Entertainment, Conseco Fieldhouse and Home Court; (ii) Fever Basketball, LLC d/b/a the Indiana Fever; (iii) the National Basketball Association and its Member Teams; (iv) NBA Properties, Inc. and their respective parents, subsidiaries, affiliates, directors, officers, governors, shareholders, owners, members, employees, successors, assigns and agents (collectively, the “Parties”) from and against any and all claims, causes of action, or demands relating to or arising out of the above named Participant’s participation in one or more of the Indiana Pacers Summer Hoops Tour basketball clinics running from July 11, 2011 through July 15, 2011 and further agree to defend, indemnify and hold harmless the Parties and their insurers against any and all damages, costs, judgments, and/or expenses (included but not limited to legal fees) they may incur as a result of claims made against them arising out of the above named Participant’s participation or any breach of this General Release.

I expressly assume all risk of injury to the above named Participant (including, without limitation, permanent disability and death) relating to, or arising out of, the above named Participant’s participation in the Indiana Pacers Summer Hoops Tour basketball clinic(s), howsoever caused or arising and whether by negligence or otherwise, and accept personal responsibility for the damages following any such injury, permanent disability or death.

I grant full permission to Pacers Basketball, LLC d/b/a the Indiana Pacers, Pacers Sports & Entertainment, Conseco Fieldhouse and Home Court, as well as the National Basketball Association and its Member Teams, NBA Properties, Inc. and their respective parents, subsidiaries, affiliates, directors, officers, governors, shareholders, owners, members, employees, successors, assigns and agents (collectively, the “NBA Parties”) to use without further notification, authorization or compensation to me or anyone on my behalf, any photographs, audio, videotapes, motion pictures, recordings, or other record of the above named Participant’s participation in the Indiana Pacers Summer Hoops Tour basketball clinic(s) (or any excerpt thereof) in any and all media, whether now known or hereafter developed, worldwide and in perpetuity, and I represent and warrant that no further permission is required for the NBA Parties to exercise such rights as provided herein.

I represent and warrant that I have full authority to execute this General Release and do so with full knowledge of the facts and circumstances surrounding the above named Participant’s participation in the Indiana Pacers Summer Hoops Tour basketball clinic(s) and the rights I am granting herein. I further represent and warrant that I have the authority of the above named Participant’s other parent/legal guardian, if any, to execute this General Release and to bind the other parent/legal guardian.

I acknowledge that I have read and fully understand the foregoing.