Please read the waiver below. Note that by submitting this form parents/guardians agree to the terms of the waiver.
Free Clinic Waiver- In consideration of acceptance of this application or my allowing my child to participate in this clinic, I agree to save harmless and keep indemnified Abstract Volleyball LTD, its organizers, and their respective agents, officials, servants, and representatives from and against all claims, actions, costs, expenses, and demands in respect to death, injury, loss, or damage to my child or property, howsoever caused, arising out of or in connection with my child taking part in this clinic, notwithstanding that the same may have been contributed to or caused or occasioned by the negligence of the same bodies, or any of them, or their agents, officials, servants, or representatives. - I further understand that this release is binding upon myself, my heirs, executors, and assigns. I understand that in signing submitting this form I am giving permission to AVB, to obtain and keep on file personal information that I have provided, and to use this information in manner suitable for evaluation, and contact purposes. I also agree to allow any photos or other media related items to be used for promotion purposes. - General: Theft, vandalism, damage or loss of personal property. Any manner of harm, injury, illness, death or property damage suffered by or resulting from use, misuse, non-use and failure of any equipment. - Volleyball: Any manner of injury, illness or death resulting from: Impact, entanglement or impairment on obstructions, apparatus/equipment, floor, walls, balls; - Contact with participants, spectators, officials or other people; - Being struck with projectiles/balls; An increased load on the heart, which may result in dizziness, shortness of breath and in extreme circumstances, may result in a heart attack; Muscular injuries such as sprains and strains; bone injuries; fainting, chest discomfort, leg cramps and nausea. - By submitting the form below I acknowledge that I have read this document thoroughly and understand that I will give up substantial legal rights that I would otherwise have. I agree to this document voluntarily and without inducement.
Athlete First Name
Athlete Last Name
Parent Guardian First/Last Name
Parent/Guardian Email address (required for confirmation, please no athlete email addresses)
Emergency Contact Name / Phone number: