High School Open Gym

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Athlete Name* This field is required.

Athlete First Name

Athlete Last Name

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Current Age * This field is required.

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Current Grade

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Are you done with your High School Season?

YESNO

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Previous Club & Team from Last Season* This field is required.

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Please Select a High School Open Gym Session* This field is required.

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Parent Name * This field is required.

First Name

Last Name

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Parent Email* This field is required.

example@example.com

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Parent Phone Number* This field is required.

Please enter a valid phone number.

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I Parent First Name Parent Last Name on behalf of Child First Name Child Last Name

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HEREBY WAIVE AND RELEASE, indemnify, hold harmless and forever discharge Revolution Volleyball Academy, LLC (“RVA”) and its agents, employees, coaches, officers, directors, affiliates, successors and assigns (collectively, the “RVA Released Parties”), of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I or CHILD ever had or may have, arising from or in any way related to my or CHILD’S participation in any events or activities conducted by, on the premises of, or for the benefit of, RVA; provided, however, that this waiver of liability does not apply to any acts by RVA constituting gross negligence, or intentional, willful or wanton misconduct.

I understand that the activities that CHILD will participate in are inherently dangerous and may cause serious or grievous injuries, including bodily injury, damage to personal property and/or death. On behalf of myself, CHILD, my heirs, assigns and next of kin, I and said CHILD waive all claims for damages, injuries and death sustained to me or my property, that I or said CHILD may have against the RVA Released Parties.

CHILD has the necessary and requisite skills to participate in all facets of, and activities of and requested of this facility, except as noted below.

By this Waiver, I, on behalf of said CHILD, assume any risk, and take full responsibility and waive any claims of personal injury, illness, death or damage to personal property associated with being in the RVA facility or in connection with activities and events attended in connection with RVA, including, but not limited to, playing in or attending volleyball games, training at the facility, using the facility and its equipment, practicing, attending or playing in volleyball tournaments, house leagues or other related activities, whether at the RVA facility or otherwise.

This WAIVER AND RELEASE contains the entire agreement between the parties, and supersedes any prior written or oral agreements between them concerning the subject matter of this WAIVER AND RELEASE. The provisions of this WAIVER AND RELEASE may be waived, altered, amended or repealed, in whole or in part, only upon the prior written consent of all parties.

The provision of this WAIVER AND RELEASE will continue in full force and effect even after the termination of the activities conducted by, on the premises of, or for the benefit of, Revolution Volleyball Academy whether by agreement, by operation of law, or otherwise.

I have read, understand and fully agree to the terms of this WAIVER AND RELEASE. I understand and confirm that by signing this WAIVER AND RELEASE said CHILD and I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law.

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Medical Conditions* This field is required.CHILD is subject to the following allergies or medical conditions, and I authorize the facility to disclose these conditions to a physician or other medical professional in the event said CHILD should require emergency medical care. Despite the disclosure of medical conditions set forth above, RVA is under no obligation to modify its events or activities to accommodate CHILD’s medical condition and shall have no liability for any injuries arising from CHILD’s medical condition in connection with CHILD’s participation in such events or activities. I understand that it is my (and CHILD’s) sole responsibility to only participate in RVA events and activities that CHILD can attend given the medical conditions listed below. If NONE, write "None"

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Full Name of Parent Signing Liability Waiver

Parent First Name

Parent Last Name

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Phone Number in Case of Emergency

Please enter a valid phone number.

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I agree to the terms and conditions of the liability waiverSignature of Parent / Guardian

Clear