Clinic Info *

Time: 9:00am-3:00pm

1st Session (June 16-20)

2nd Session (July 14-18)

Both 1st & 2nd Session

Participant Name *

First Name

Last Name

Participant Birthday *

MM

DD

YYYY

Primary Contact *

First Name

Last Name

Secondary Contact *

First Name

Last Name

Phone *

(###)

###

####

Photo/Video Consent *

I hereby give permission to any Volleyball Stars staff, trainers, and authorized representatives to use photograph(s) and/or video recording(s) of the player for any lawful purpose including but not limited to use on Volleyball Star's website, social media platforms, promotional materials, and publications, without restriction or compensation.

Yes

No

Participant Waiver Release Form

I hereby acknowledge that my participation in the youth volleyball training program involves certain inherent risks. In consideration of being allowed to participate in the program, I agree to assume all risks and expressly waive any and all claims against the program organizers, instructors, and facility owners for any injury or damages that I may sustain while participating in the program. I understand and acknowledge that volleyball, like any sport, carries with it the risk of physical injury. I am fully aware of the risks and hazards involved and voluntarily choose to participate in the program despite these risks. I hereby release and discharge the program organizers, instructors, and facility owners from any and all liability, claims, demands, actions, or rights of action, which are related to, arise out of, or are in any way connected with my participation in the youth volleyball training program. This waiver and release extend to all claims of every kind and nature whatsoever, whether known or unknown, foreseen or unforeseen, that I may have now or in the future. I agree to abide by all rules and instructions provided by the program organizers and instructors. I also consent to the program organizers providing emergency medical treatment if deemed necessary. I understand that I am responsible for any medical costs associated with such treatment. I have read this waiver and release form, understand its terms, and sign it voluntarily and of my own free will. I acknowledge that by signing this document, I am giving up important legal rights.

Yes