Emergency Contact & Health Insurance Information

Parental Permission For Emergency Treatment

In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to:
I give consent for the facility to secure any and all necessary emergency medical care for my child.

Release of Liability

Although the safety of all sport activities is the primary concern, indoor sport activities at RBVC's facilities may cause injuries and/or death.  I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against RBVC and the persons in charge.

Photo/Video Resease Form

I hereby give permission for images of my child, captured during the Riptide Volleyball Academy season at practices,tournaments and events through video, photo and digital camera, to be used solely for the purposes of Riptide Volleyball Academy promotional material and publications, including website and social media entries, and waive any rights of compensation or ownership thereto. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein a likeness appears.

I hereby hold harmless and release and forever discharge the Riptide Volleyball Academy from all claims, demands, and causes of action which I, my heirs,
representatives, executors, administrators and any other persons acting on my behalf.

I have read this release before signing below and I fully understand the contents, meaning and impact of this release.