Liability and Media Release Waiver

I/We the undersigned hereby certify that I (we) am (are) the parent(s) or legal guardian(s) of the athlete. I(We) hereby give permission to the staff of Vortex Volleyball to seek appropriate medical attention for the athlete and for the medical attention to be given and for the athlete to receive medical attention in the event of accident, injury, or illness. I will be responsible for any and all costs of medical attention and treatment, {except for that covered by the facility’s excess medical coverage policy.} I/We, the undersigned for ourselves, our heirs, executors, and administrators waive, release and forever discharge Vortex Volleyball, L & L Properties, its staff, officers, directors, board members, coaches, agents, employees, representatives and successors and assigns of and from all rights and claims for damages, injury or loss to person or property which may be sustained or occur during participation in athletic activities and/or while at tryouts, in club season (including practices and tournament/travel), in coed leagues, camps, or clinics – whether damages, injury or loss due to negligence. I/We hereby acknowledge that our child is physically fit and mentally capable of participating in volleyball practices, tournaments, clinics and camp activities. I grant permission to Vortex Volleyball the right to use photographs taken of my child participating in Vortex Volleyball for promotional use on its website at www.vortexvolleyball.com and or Facebook page/Instagram/TikTok page. I hereby agree to release, defend, and hold harmless Vortex Volleyball, its staff, officer’s directors, board members, coaches, agents, employees, representatives and successors from and against claims, damages or liability arising from or related to the use of photographs for promotional purposes.
 

Who will be participating?

Adult  Adult and Children  Children

Your Information

Please List Name and Phone Number

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.