Duel Prep Registration
Athlete Info
Last Name:
Your answer
First Name:
Your answer
Contact Info
Name:
Your answer
Email:
Your answer
Phone Number:
Your answer
Camper Medical Conditions or Allergies
Your answer
Session 1
$150 for Full Session or $25 per Individual Day
Session 2
$150 for Full Session or $25 per Individual Day
Shirt Size
For those who signed up for their first full session this year.
Medical Waiver and Release
PARTICIPANT: In consideration of being allowed to participate in any way in the 2016 Duel Volleyball Club, related events and activities, the undersigned acknowledges, appreciates and agrees that: The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist; and I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others and assume full responsibility for my participation; and I willingly agree to comply with the stated and customary terms and conditions for participation, I will remove myself from participation and bring such to the attentions of the nearest official immediately; and I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless, Dave LePeau, Angela Vande Mheen, The Gregory School, their officers, officials, agents, and/or employees, other participants, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“releases”), with respect to any and all injury, disability, death, or loss of damage to person or property, whether arising from the negligence of the releases or otherwise. I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it and sign if freely and voluntarily without any inducement. I also agree I will be a fully registered member of USA Volleyball at the time of tryouts. PARENT OR GUARDIAN and I, the minor’s parent and/or legal guardian, understand the nature of the activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activity. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the release’s from all liability, claims, demands, losses, of damages on the minor’s account caused or alleged to be caused in whole or in part by the negligence of the “releases” or otherwise, including negligent rescue operation and further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claim against any of the releasees named above, I will indemnify, save, and hold harmless each of the releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any may incur as the result of any such claim. PHOTOGRAPHS/VIDEOS: I understand that in the course of club, camp and tournament activities, photos/video may be taken of my child. I hereby give consent to DUEL VOLLEYBALL CLUB to make use of those photos/videos in public relations materials, including, but not limited to, brochures, websites and advertising. It is understood that the photos/videos are intended to reflect the normal activities of the club.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.