Liability Waiver

 

This form must be signed by a parent and/or guardian before participation in any Northeast Volleyball Club event. If an athlete is 18 or over, athlete must sign this release and waiver. If athlete is under 18, a parent/guardian must execute this waiver and release on behalf of the minor.

 

I, the athlete/parent/guardian, understand that volleyball or training is a test of a person's physical and mental limits and carries with it the potential for property loss, minor injury, serious injury, and death. With full understanding of the potential risks, I hereby assume the risks of participating/having my child participate in volleyball and training events, including tryouts, practices, lessons, clinics, workouts, tournaments, and any other activities at Northeast Volleyball Club at 589 Danbury Road, Wilton, CT, 06897, or any other locations where a Northeast Volleyball Club event is held.

 

I, the athlete/parent/ guardian, hereby take the following actions for myself, my executors, administrators, heirs, next of kin, successors and assignees: a) I hereby waive, release, acquit and forever discharge Northeast Volleyball Group, LLC and its officers, owners, and directors, collectively and individually, and adult supervisors and any and all persons directly or indirectly associated with Northeast Volleyball Group LLC, including the following persons or entities, and each of them from any and all acts, causes of action, claims, demands, damages, costs of expenses on account of or which may in any way develop out of any and all known and unknown personal injuries or property damages which the athlete/parent/guardian may suffer during the course of or as a result of using the facility located at 589 Danbury Road, Wilton, CT 06897 or any other Northeast Volleyball Group LLC event location for volleyball tryouts, practices, clinics, lessons, workouts, tournaments, and any other activities, and travel to and from these activities; The following persons or entities: Northeast Volleyball Club, Northeast Volleyball Group LLC, Northeast Volleyball Club Officers, Coaches, and Staff, Four Seasons Racquet Club, Four Seasons Racquet Club Officers, Coaches, and Staff, St. Luke's School, St. Luke's School Officers, Coaches, and Staff, USA Volleyball and its Regional Volleyball Associations, Tournament Directors, Sponsors, and the Officers, Directors, Employees, Representatives, and Agents of any the above; (b) I agree not to sue any of the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my/my child's actions. If the athlete is under 18 years of age, I hereby acknowledge that I am the lawful parent and/or guardian of the above-mentioned minor. If during the course of my child's activities in volleyball or training, she/he should become ill or sustain an injury, I hereby authorize you to obtain emergency medical/dental care. I will assume financial responsibility for the bills incurred.

 

I have read and understood the Waiver and Release of Liability and give the participant listed below my permission to participate in Northeast Volleyball Club events for the years of 2018 through 2019.

 

Social Media & Model Release 

Athletes involved in any activities offered by Northeast Volleyball Group LLC may be photographed or videotaped. The undersigned hereby consents to and authorizes Northeast Volleyball Club, Northeast Volleyball Group LLC, and/or anyone authorized by Northeast Volleyball Club or Northeast Volleyball Group LLC, the use and/or reproduction of photographs and/or videos containing the athlete's person, image likeness, name, or voice without compensation, on the Northeast Volleyball Group LLC website or in any social media, editorial, promotional or advertising material produced and/or published by Northeast Volleyball Group LLC, or for any lawful purpose whatsoever.

I have read and understood the Social Media & Model Release Waiver and give the participant listed below my permission to participate in Northeast Volleyball Club events for the years of 2018 through 2019.

(203) 939-7413

admin@northeastvbc.com

589 Danbury Road

Wilton, CT 06897

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