2021 Summerfest Tournament Liability Form & COVID-19 Screening Questions
Complete the form below if you are participating in the 2021 Summerfest Tournament which will take place on Friday, July 30 & Saturday, July 31 at Legacy Volleyball Club. Located at 46500 Desoto Ct, Novi, MI 48377.
This form is required to be completed by EACH participate on the team. Failure to complete this form will result in you not being able to participate in the 2021 Summerfest Tournament.
If you have any questions please send us an email at
By providing your email address below, you will be emailed a confirmation for your records once you submit your liability form.
Mon-Starz - VB
Name of Participant
Legal First and Last Name
COVID-19 Screening Questions
Due to the COVID-19 Pandemic, the following questions must be answered in order to participate in the 2021 Summerfest Tournament.
By answering "Yes" to any of the below 3 Questions, you will NOT be able to participate in the 2021 Summerfest Tournament.
Have you been in contact with any person(s) positive for COVID-19 within the last 14 days?
Have you been in contact with any person(s) who have displayed COVID-19 Symptoms within the last 14 days?
Have you displayed any COVID-19 Symptoms within the last 14 days?
Release And Waiver Of Liability, Assumption Of Risk, And Indemnity And Parental Consent Agreement ("Agreement")
IN CONSIDERATION of being permitted to participate in any way in any Volleyball and/or Basketball activity ("Activity") at any time during the current calendar year I, for myself, my personal representatives, assigns, heirs, and next of kin:
1. ACKNOWLEDGE, agree and represent that I understand the nature of Volleyball and/or Basketball Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at any time I believe the conditions to be unsafe, I will immediately discontinue further participation in the Activity.
2. FULLY UNDERSTAND that: (a) Volleyball and/or Basketball ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH ("Risks"); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER 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 ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity.
3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the High Velocity Sports and/or Youth Summerfest, its administrators, directors, agents, officers, members, volunteers, team members, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the RELEASEES herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may be incurred as the result of such claim.
BY CHECKING "YES" & "SUBMIT" BELOW. I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
Yes I have read the above liability form and all of its contents
A copy of your responses will be emailed to the address you provided.
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