Brantford Community Volleyball League
Informed Consent, Waiver, and Releases Form
Player's Name
*
First Name
Last Name
Player's Email
*
This e-mail address will be used for any league communications.
Player's Contact #
*
Please enter a valid phone number.
Player's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact #
*
Please enter a valid phone number.
Team Name
*
Please Select
5 Star Water
Attack Pack
BC Painting
Big Al & The Gang
Blue Balls
Call It
Chewblocka
Dig It
Diggas With Attitude
Dream Team
Empire Spikes Back
Fockers
Johnny Gees
Kinky Sets
Mad Libs
Manns Distillery
Mighty Squash
Modern Heating
Mustangs
Notorious DIG
Pdub
Practice Safe Sets
Random Spike
Reloaded
Royal LePage
Serves Up
Serves You Right
Set It and Forget It
Set On My Face
SFL2000
Smackdown
SMASH
SN Designs
Titans
Totally Rec'd
Twelve Bad Knees
Division
*
Please Select
Division A
Division B
Division C
Division D
I have read and agree to the Informed Consent, Waiver, and Releases Form available at https://www.bcvl.org/legal.html
*
I accept
Disclaimer
By signing below, I agree I have been provided the Informed Consent, Waiver and Releases Form, I have reviewed the Informed Consent, Waiver and Releases Form completely, and I voluntarily assume all risks prior to, during, or after the activity, or sports activities that I have registered with and are participating in. I accept all information provided to me on the Informed Consent, Waiver and Releases Form. Further, I fully understand that acceptance of membership or participation shall be of the rules, constitution (if applicable) and by-laws of the Brantford Community Volleyball League and the leagues philosophy of a recreational community league. By signing below, I agree to waive, release, hold harmless, and forever discharge from all liability for, but not limited to, any personal injury, bodily injury, viral infection, bacterial infection, dismemberment, death, property damage, items listed above or loss resulting from my participation in Sports Activities due to any cause, including but not limited to BCVL’s negligence (failure to use such care as a reasonably prudent and careful person would use under similar circumstances), breach of any duty imposed by law, breach of contract or mistake in error of judgment or decisions of BCVL or their Executive. By signing below, I understand and agree that I am waiving my rights to sue the BCVL and it's executive.
Signing Date
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Year
/
Month
Day
Date
Signature
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