Coed middle school and high school volleyball clinic with coach Nikki Hackenberg

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Please fill out this form to sign your child up for the free coed middle school and high school volleyball clinic led by coach Nikki Hackenberg, to be held on Saturday, June 27, from 8:00 a.m. to noon at Trayser Field. This event is open to all St. John middle and high schoolers.

Child's Name *

Child's grade for the 2026-2027 school year *

Child's emergency contact person name *

Child's emergency contact person phone number *

By checking the box below, I acknowledge:

I, as the parent or legal guardian of the above-named participant, give permission for my child to participate in the volleyball clinic on June 27 at Trayser Field. I understand that participation in any athletic activity involves a certain degree of risk, including the risk of injury.

I acknowledge and agree to the following:

Assumption of Risk
I understand and accept that participation in the Clinic may involve physical activity and inherent risks of injury. I voluntarily assume all such risks, known and unknown, and take full responsibility for my child’s participation.

Release of Liability
I hereby release, waive, discharge, and hold harmless the Clinic organizers, coaches, volunteers, sponsors, facility owners, and any affiliated individuals or organizations from any and all liability, claims, or demands arising out of or related to any injury, illness, loss, or damage that may occur as a result of my child’s participation in the Clinic.

Medical Authorization
In the event of an emergency, I authorize the Clinic staff to seek medical care for my child, including transportation to a medical facility if deemed necessary. I understand that I am financially responsible for any medical treatment or emergency services rendered.

Fitness to Participate
To the best of my knowledge, my child is in good health and has no physical or medical condition that would prevent safe participation in the Clinic.

By checking this box, I confirm that I am the parent or legal guardian of the minor named above. I have read, understood, and agree to the terms and conditions of the waiver on their behalf. I understand that checking this box constitutes my electronic signature and indicates my full agreement with the waiver.

Required

I grant permission for my child to be photographed or recorded during the Clinic for promotional, educational, or informational purposes. These materials may be used in print or online by the organizers. *

Yes

I understand that my child needs to bring school-appropriate sneakers, athletic clothing, a reusable water bottle, and a light healthy snack. Optional: sun protection and knee pads. *

Yes

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