QCSA Waiver/Release / Assumption of Risk Agreement
Everyone must sign a waiver in order to participate in ANY programs offered by QCSA
Participation in the Queen City Sports Academy, herein referred to as the “QCSA” or the “Center” or the “facility”, entitles you to participate in all programs offered by QCSA to include, but is not limited to
Classes (Skills Training)
Lessons (private/semi-private/group)
or any and all other programs offered at QCSA
In consideration of participating, in any way, in the QCSA programs, and/or participating in, or attending related events or activities, at the center, the undersigned, hereafter called participant, and parent or legal guardian, the undersigned, hereafter called parent/guardian agree that he/she, understands and/or will instruct the minor participant, that prior to participating he/she shall inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she shall immediately inform his or her coach or supervisor of such condition(s) and refuse to participate unless and until such condition(s) is cured or removed.
The participant and parent/guardian, acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and that severe social and economic loss may result not only from his or her own actions, in actions, or negligence but from the actions, in actions or negligence of others, as well as the rules of play, the condition of the premises or from any equipment used. Further, that there may be other risks not known to the adult and/or minor participant including risks that may not be reasonably foreseeable.
The participant and parent/guardian, assumes all of the foregoing risks and accept personal responsibility for any injury, disability or death, and any damages, whether social or economic. Represents that I, or my child, am qualified, in good health and in proper physical condition to participate in activity(ies) at the center and hereby authorize any representative of QCSA and/or SP or medical provider, to seek medical attention on my behalf, or on behalf of my child, to ensure my well being, or the well being of my child, without any legal liability whatsoever, inclusive of any responsibility for any negligent rescue or delayed operations.
The participant and parent/guardian, releases, waives, discharges and covenants not to sue QCSA, it’s affiliated clubs, administrators, members, directors, agents, coaches, and other employees of the center, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors/lessees of the premises used to conduct the event or activity in which I, or the minor participant for whom I am responsible, participate (all of which are hereinafter referred to as “releases”), from any and all liability to each of the undersigned, his or her heirs and the next of kin, for any and all claims, demands, losses or damages on account of any injury, including death or damage to property, caused or alleged to have been caused, in whole or in part, by the releases or otherwise.
I authorize QCSA to utilize in any promotional materials any image of me/my minor child, while participating in any activity at the center.
QCSA Rules and Regulations
I will keep my non-participating children by my side in the spectator area or lobby and will not allow them to be unattended at any time; I will not allow them to run inside the facility or on the bleachers, nor allow them on the courts or to play with the balls/equipment; I will not bring gum or candy into the gym area of the facility (lobby only - drinks are allowed if covered);; I will respect the authority of all coaches, directors and staff members of the center and obey all of their lawful requests; I will remain in the spectator area and off the court area unless I am participating in a scheduled activity; I will NOT coach my child from the bleachers/or sidelines, nor interact while the coach is with her/him; I will NOT participate in any game, game-like activities (ie.; rebound or retrieve balls, stand with coach) nor be on the court AT ALL; unless I have permission from QCSA staff and am asked to assist by a member of QCSA full-time staff (not seasonal coaches) and I will remember that all players are amateur athletes and will acknowledge effort and good performance and display good sportsmanship at all times while at the facility, generate goodwill by being polite and respectful to those around me, support the policies and guidelines of the facility, model exemplary behavior while at the facility, and immediately notify the Administrators in the event that I witness any illegal activity, NOT bring and/or carry any firearms into the facility and NOT bring, purchase or consume alcohol before or during my time in the facility.
By signing below, I agree to abide by the rules and regulations, and facility policies as set forth above, as well as the official rules of USA Volleyball and failure to comply can result in my removal from the facility and suspension and/or cancellation of my membership .
I HAVE READ THE ABOVE AGREEMENT AND UNDERSTAND THAT I/WE GIVE UP CERTAIN RIGHTS BY VOLUNTARILY SIGNING IT AND I/WE NEVERTHELESS DO SO.
In the case of 18‐year olds signing their contracts, we will require the parents to act as co-‐signer of all registration paperwork.
By registering, you also agree to receive emails from QCSA.