SPIRIT VOLLEYBALL CLUB WAIVER & RELEASE OF LIABILITY

THIS FORM MUST BE SIGNED BEFORE THE PLAYER IS PERMITTED TO PARTICIPATE IN ANY TRY TRYOUTS, CAMPS, COMPETITION OR PRACTICE.

I acknowledge that volleyball is an extreme test of a person physical and mental limit and carries with it the potential of serious injuries, even death....

I HEREBY ASSUME THE RISK OF PARTICIPATING OR OFFICIATING IN THE SPIRIT VOLLEYBALL CLUB EVENTS.

I HEREBY TAKE THE FOLLOWING ACTION FOR MYSELF, MY EXECUTORS, ADMINISTRATORS, HEIRS, NEXT OF KIN, SUCCESSORS AND ASSIGNS:

 I WAIVE, RELEASE, AND DISCHARGE FROM ANY AND ALL CLAIMS OR LIABILITIES FOR INJURIES OF ANY KIND, WHICH ARISE OUT OF OR RELATE TO MY PARTICIPATION IN OR MY TRAVELING TO AND FROM ANY VOLLEYBALL EVENTS, THE FOLLOWING PERSONS OR ENTITIES:

a- The members of Spirit volleyball club, sponsors and representatives of any of the above.

b- I agree not to sue any of the persons or entities mentioned above.

c- I indemnify and hold harmless the persons or entities mentioned above from any claim or liability against them as a result of my actions.

 BY SIGNING THIS FORM, I AFFIRM THAT I HAVE READ THIS DOCUMENT AND I UNDERSTAND ITS CONTENTS.

I am under the age of 18 years my parent/guardian has read and completed the section below.

The undersigned _______________________of ________________________(minor)

hereby executes the foregoing waiver and release for and on behalf of the minor named herein. I hereby bind myself, the minor and all other assigns to the term of the waiver and release. I represent that I have legal capacity and authority to act for and on behalf of the minor named herein, I agree to indemnify and hold harmless the persons or entities mentioned above for any claim or liabilities assessed against them as

a result of any insufficiency of my legal capacity or authority to act for and on behalf of the minor in the execution of the waiver and release.

                    Print participant name -------------------------------------------------------------

                    Participant signature/date ---------------------------------------------------------

                    Print guardian name ----------------------------------------------------------------

                    Guardian signature/date -----------------------------------------------------------

                    Emergency number -----------------------------------------------------------------

PRINT THIS PAGE AND MAIL IT IN WITH YOUR APPLICATION & PAYMENTS