GCJVB Academy Registration Form Logo
  • Academy Registration 

    Session I:  May (no drop-in permitted) FULL

    Session II:  June (10, 12, 17, 19, 24) $150 | $35 drop in

    Session III: July (15, 17, 22, 24, 29, 31) $180 | $35 drop in

    *Cash or check due first practice 

    All players must have an AAU membership for all youth programs at Gulf Coast Jrs.
    An AAU Youth membership allows participation and insurance coverage in any youth sport.
    Please assign Gulf Coast Jrs - CLUB CODE:W3DEDB
    PLEASE SELECT:
    $24.00 - Extended Coverage Membership (AB)

    Location:
    Parrish Community High School
    7505 Fort Hamer Rd
    Parrish, FL 34219

     

  • Athlete Information

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  • Emergency Contact & Health Insurance Information

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  • ACKNOWLEDGEMENT OF RISKS OF PARTICIPATION 

    I acknowledge that volleyball or any sporting event is an extreme test of a person’s physical and mental limits and that my participation in a volleyball event
    can cause any or all of the following: property damage, including loss or damage to personal property; serious injury (including athletic injuries such as
    broken bones, concussions, or other injuries); sickness and disease (including communicable diseases and viruses (including COVID-19 or bacteria);
    trauma; pain & suffering; permanent disability; exposure to extreme conditions and circumstances; exposure to communicable diseases (including COVID-
    19); accidents involving other participants; contact or collision with other participants, playing surfaces, balls or other natural or manmade objects; and,
    paralysis and death.

    With a full understanding of the potential risks, I HEREBY ASSUME THE RISKS OF PARTICIPATING OR OFFICIATING IN A VOLLEYBALL EVENT. I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors and assigns: a) I WAIVE, RELEASE, AND DISCHARGE from any and all claims or liabilities for death, exposure to disease, personal injury or damages of any kind, EXCEPT THAT WHICH IS THE RESULT OF GROSS NEGLIGENCE AND/OR WANTON MISCONDUCT OF PERSONS OR ENTITIES LISTED BELOW, which arise out of or relate to my traveling to and from or my participation in any volleyball event, THE FOLLOWING PERSONS OR ENTITIES: USAV, RVAs or AAU tournament directors, sponsors, and the officers, directors, employees, representatives, and agents of any of the above; b) I AGREE NOT TO SUE any of the persons or entities listed above for any of the claims or liabilities that I have waived, released or discharged herein; and c) I INDEMNIFY AND HOLD HARMLESS the
    persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions.

    If applicant is under 18 years of age, a parent or guardian must execute, in addition to the foregoing Waiver and Release, the following, for and on behalf of the minor player named above. The undersigned parent and natural guardian or legal guardian of the player named above and executes the foregoing Waiver and Release for and on behalf of the minor named herein. I hereby bind myself, the minor and all other assigns to the terms of the Waiver and Release. I represent that I have legal capacity and authority to act for and on behalf of the minor named herein, and I agree to indemnify and hold harmless the persons or entities named in the Waiver and Release for any claims or liabilities assessed against them as a result of any insufficiency of my legal capacity or authority to act for and on behalf of the minor in the execution of the Waiver and Release. I fully consent to my child’s participation in USAV, RVAs or AAU events.

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  • After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at Info@GulfCoastJrs.com.


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