If athlete/participant is under 18, a parent/guardian must execute this waiver on behalf of the minor before participation in any Northeast Volleyball Group LLC (“NEVBC”) or Northeast Athletic Center LLC (“NAC”) event.

 

If an athlete (or staff member) is 18 or over, the athlete (or staff member) must sign this waiver.

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Liability Waiver - I, the athlete/parent/guardian, understand that volleyball or training is a test of a persons's physical and mental limits and carries with it the potential for property loss, minor injury, serious injury, illness, and death. With full understanding of the potential risks, I hereby assume the risks of participating/having my child participate in volleyball, fitness, camps, or training events, including tryouts, practices, lessons, clinics, workouts, tournaments, and any other activities at Northeast Volleyball Club (“NEVBC”) and Northeast Athletic Center (“NAC”) 365 Dr. Martin Luther King Jr. Dr, Norwalk, CT 06854, or any other locations where a Northeast Volleyball Club or Northeast Athletic Center event is held.

 

I, the athlete/parent/guardian, am aware of the inherent risk involved with the activity and will notify Northeast Volleyball Club (“NEVBC”), Northeast Athletic Center (“NAC”), and any relevant affiliates of any health related issues that may limit my ability to perform these activities. Participants undergo activity willingly and at their own risk. Any injury incurred during training or as a result of training, are not the responsibilities of Northeast Volleyball Group LLC (“NEVBC”) or Northeast Athletic Center LLC (“NAC”).

 

In reference to COVID-19, l, the athlete/parent/guardian understand that I must adhere to all federal, state and local government requirements, in addition to any stated or posted requirements from NEVBC or NAC. I acknowledge that if I am experiencing any COVID-19 symptoms or have tested positive for COVID, I will not enter the facility and will be prohibited from participating in all camp activities. In addition, l, the athlete/parent/guardian understand that a diagnosis of COVID-19 within 14 days of visiting the facility or attending any NEVBC or NAC event or program, must be fully disclosed to Northeast Volleyball Club in writing (admin@northeastvbc.com / 203-939-7413).

 

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 NEVBC and NAC and their officers, owners, and directors, collectively and individually, and adult supervisors and any and all persons directly or indirectly associated with NEVBC or NAC, 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 365 Dr Martin Luther King Jr Dr, Norwalk, CT 06854 or any other NEVBC or NAC event location for 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 Athletic Center LLC; NEVBC Officers, Coaches, and Staff; NAC 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 acknowledge that I am the lawful parent and/or guardian of the below-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 get 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 NEVBC or NAC events. Social Media & Model Release - Athletes involved in events offered by NEVBC or NAC may be photographed or videotaped. The undersigned hereby consents to and authorizes NEVBC, NAC, and/or anyone authorized by NEVBC or NAC, the use and/or reproduction of photographs and/or videos containing the athlete's person, image likeness, name, or voice without compensation in any social media, editorial, promotional or advertising material, for any lawful purpose whatsoever. I have read and understood the Social Media & Model Release and give the participant below my permission to participate in NEVBC or NAC events.

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Social Media & Model Release - Athletes involved in events offered by NEVBC or NAC may be photographed or videotaped. The undersigned hereby consents to and authorizes NEVBC, NAC, and/or anyone authorized by NEVBC or NAC, the use and/or reproduction of photographs and/or videos containing the athlete's person, image likeness, name, or voice without compensation in any social media, editorial, promotional or advertising material, for any lawful purpose whatsoever. I have read and understood the Social Media & Model Release and give the participant below my permission to participate in NEVBC or NAC events.

 

IF PARTICIPANT IS 18 YEARS OLD OR OVER:
Participant Name (printed): _________________________

Today's Date: ________________
Participant Signature:____________________________

Today's Date: ________________

IF PARTICIPANT IS A MINOR (UNDER 18 YEARS OLD)
Parent/Guardian Name (printed): _________________________

Today's Date: ________________
Parent/Guardian Signature:**_____________________

Today's Date: ________________