Spring Volleyball: Session 2

Lion Heart Sports

2025 Volley Spring Instructional League
Registration and Waiver
Child's Name*

First NameLast Name
Date of Birth*

DayMonthYear
Current Grade*
School*
Shirt Size*
Years of volleyball experience?
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Name*

First NameLast Name
Cellphone Number*

Area CodePhone Number
E-mail*
Attended in the past?

YesNo
Camp Selection

Please choose the appropriate camp for your child. (If your 3rd/4th grade daughter attends PSR please select a Tuesday/Thursday option.) The 3/4 camps are 6 - 7:30 pm and the 5/6 and 7-9th camps are 7:30-9 pm.
Camp options*
A friend you'd like on your team? (We'll do our best but these cannot be guaranteed.)
Photo Release
Photos or videos may be taken of you or your child while you or they are participating in or on the premises of league activities. Lion Heart Sports may use these photos on their website, social media and other marketing materials.
Photo Release*

I give permissionI do NOT give permission
Emergency Contact Details
Name of Emergency Contact*
Must be available 24 hours a day during the camp
Relationship to child*
Cell Phone*
Medical Details
Specify any conditions that may effect you during camp and require special care:
Medical conditions/Any restrictions
Medication - Specify any medication that you may be taking during camp:
Lion Head Sports Waiver/Exclusionary CIause/Medical Release:
l, the undersigned particlpant, in enrolling with Lion Head Sports LLC, understand that in attending any program and using the facilities, does/do so at my own risk. Lion Heart Sports LLC and its owners, employees, agents shall not be liable for any damage whatsoever arising from any personal injury or property loss sustained by participant and my family in or about the premises.
Participants assume full responsibility for all injuries and damages which may occur in or about any programs on the premises and does/do hereby fully and forever release, discharge, and hold harmless Lion Heart Sports LLC, all associated facilities, and its owners,
employees and agents from any and all claims, demands, damages, rights of action, present or future, resulting from or rising out of any person's participation in any programs or use of its facilities.
l, the undersigned participant, do hereby grant authority to the staff of Lion Heart Sports LLC to render judgment concerning medical assistance or hospital care in the event of an accident or illness during my absence.
Parent/Guardian Signature*

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Lion Heart Sports

Registration and Waiver

Camp Selection

Photo Release

Emergency Contact Details

Medical Details