Release of Liability and Player Registration Form

             East Oahu Youth Volleyball Clinic

Team Information

Gender: ________________________________Age:_____________________________

(circle One or Two)  CLINIC  1  (3:3O-5pm)  or CLINIC  2  (5pm-6:30pm)

Existing Player Information

(Please Complete This Section.)

Player’s Name: ______________________________Date of Birth:____/____/____

Phone: Home:__________________Work:_______________Mobile:_______________

Email Address:______________________________________________________

Home Address:____________________________________________________________

City:____________________State:______________ZipCode:________________

Release of Liability

I, for myself, assigns, heirs, next of kin acknowledge and those under my guardianship agree that I understand the nature of volleyball activities and that my child is in good health, and in proper physical condition to participate in such volleyball activities. I further agree and warrant that if at any time I believe these conditions to be unsafe, I will immediately discontinue my child from further participation in these volleyball activities. I fully understand that sports involve risks and dangers of serious bodily injury, including permanent disability, paralysis and death. I understand that these risks and dangers may be caused by my child’s own actions or inactions, the actions or inactions of others and/or the condition in which the activities take place. I understand that there may be risks and social and economic losses either not known to me or not readily foreseeable at this time and I fully accept and assume all such risks and responsibility for losses, costs and damages that I may incur as a result of the participation the activities. I hereby release, discharge and hold harmless East Oahu Volleyball Club and Holy Trinity Church/School and their respective coaches, administrators, directors, office personnel, volunteers, and other participants, sponsors and advertisers from all liability, claims, demands, losses and/or damages caused, or alleged to be caused, in whole or in part by me or by my assigns, heirs, next of kin, and those under my guardianship. Furthermore, I will indemnify, save and hold East Oahu Volleyball Club from any litigation expenses, attorney fees, loss, liability, damage, or costs which may be incurred as the result of such a claim. I understand that this form serves as a medical release. I understand that I am responsible for all medical expenses for my child that may result from any and all related volleyball activities.

I have read this agreement, fully understand its terms and have signed it freely and without inducement. Shall any portion of this agreement be held to be invalid the balance, notwithstanding, shall continue in full force and effect.

Print Child/Players Name: ______________________________________________________________________

Print Parent/Guardian Name:____________________________________________________________________

Signature of Parent/Guardin (18 years of age and above):

_______________________________________________________Date:_________/___________/__________