This tournament is insured by JVA. It is required that each member of the team have
signed JVA Waiver of Liability Form and a JVA Medical Waiver and Release Form*
and that a hard copy of the form is in the possession of the coach/team rep at all times
or available online via SportsEngine.
If an individual is injured during participation in this event, it is the coach’s responsibility
to secure a “JVA Incident Report” from the Tournament Director. The form should be
completed and retained by the Tournament Director. It is advised that the coach keep a
copy for the club records. Medical Claims for insurance coverage cannot be honored
without an Incident Report from. A Medical Claim form can be requested from Lisa
Wielebnicki via email at lisa.wielebnicki@jvavolleyball.org.
By signing this form, you are taking responsibility that anyone on your bench is on your
submitted roster. Also, you are agreeing that you have completed all requirements of
the JVA Background Screen and JVA Safety Policy.
The coach assumes responsibility to have access to the above-named forms at all
times.
*A USAV Medical Waiver and Release Form is acceptable