Waiver of Liability and Release Form
This form must be completed for each volleyball player (participant) and, if the player is under 18-years old, must be signed by the player’s parent or legal guardian. No player will be allowed to participate in any volleyball clinics, leagues, or tournaments without this form, properly executed, and on file.
I, the undersigned, in consideration for my voluntary participation in organized volleyball, do hereby willfully acknowledge that my signature below attests to my understanding and agreement that:
My player status will be kept in good standing. I will not compromise myself in such a way as to do harm to the clinic, league or tournament, knowing that players may be dismissed from participation, with possible loss of payment or dues, for violent conduct or unsportsmanlike behavior on or off the field of play. I agree to pay for any and all damages to any property or indemnities caused by me willfully, negligently, or otherwise.
Volleyball is a physical, contact sport that involves the risk of injury. I assume all risks and hazards associated with my participation in the sport. I am in proper physical condition to participate in volleyball practices and games and have no illness, disease or existing injury or physical defect that would be aggravated by my participation. I will inform my coach if this status changes. I further acknowledge that this risk may involve loss or damage to me or my property, including the risk of death, or other unforeseen consequences, including those which may be due to the unavailability of immediate emergency medical care. I have a current medical consent form in force. I will wear properly-fitted athletic shoes, light- weight-clothing and other protective equipment (e.g., knee pads), as provided by volleyball rules, to all events.
Stacy Ann Trivett (President & Head Coach, Speedy Volleyball) clinics, leagues or tournaments does not have personal injury insurance that covers participation. Therefore, I should have a current, active, personal injury insurance policy in force, which covers my participation. Under any condition, I am responsible for any and all medical expenses arising from my participation, in clinics, practices, and games and while travelling to and from these events. I have the right and responsibility to inspect the equipment and facilities prior to events and, if I believe that anything may be unsafe, I will advise the coach or supervisor of the condition and may refuse to participate. Participation assumes consent.
I hereby release, waive liability, discharge, hold harmless, indemnify, and covenant not to sue, Stacy Ann Trivett (President, Speedy Volleyball), her associated directors, administrators, officers, managers, employees, coaches, trainers, volunteers, sponsors and advertisers, and other agents, estates or executors, from any and all liability incurred in the conduct of, and my participation in, their volleyball programs. This includes owners, lessors, and lessees of premises, municipalities, government agencies, successors, heirs, and assigns.
I have completely read this document and fully understand its contents. I acknowledge that I have given up substantial rights by accepting this document and that I do so voluntarily. My signature attests to this on behalf of myself and my executors, personal representatives, administrators, heirs, next-of-kin, successors, and assigns.