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2022 Midwest Championships "The Fiesta" Challenge Waiver
Please fill out this Club Participation Agreement / Waiver.
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1
Club Director or Club Representative
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Full Name
First Name
Last Name
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2
Which club are you representing?
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3
How many teams from your club will be participating?
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4
As the club's Authorized Representative I assume all liability and attest that all adults working with my club's teams and the minor athletes therein at the 2022 Midwest Championships "The Fiesta" Volleyball Tournament are in full compliance with the "... Safe Sport Act of 2017." Further, I have read, all JVA insured event requirements and will supply any and all forms to the event upon request, including but not limited to, JVA Event Waiver, Medical Forms for each athlete and any and all items needed to confirm compliance with the JVA's Background Screening and APS Policy.
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I agree
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5
As the club's Authorized Representative I attest that the individuals on the roster as established and furnished to JVA, AAU or USAV are the athletes that will be in attendance and participating in the event. If, due to illness, an athlete is unable to attend and the team has less than six players, I will contact the event director immediately to request an addition to the roster to ensure participation.
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I agree
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6
As the club's Authorized Representative I assume all liability for compliance with the Minnesota Department of Health and Governor Walz's guidelines for youth sports at all times during participation in the event; this includes both competition and practice.
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I agree
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7
As the club's Authorized Representative I agree to notify all athletes and families in my club of the specific site and event COVID requirements as listed below.
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There are no government mandated or host site requirements at this time. 4/21/22
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8
As the club's Authorized Representative I understand that failure to comply with any specific site or event COVID requirements can and will result in immediate removal from the event.
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I understand
No
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9
Signature
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Clear
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