3VB Registration Form

Introduction to Volleyball Product Image

Introduction to Volleyball This is an introductory clinic for athletes new to volleyball to learn fundamental skills and basic game play.

$25.00 Quantity

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$0.00

Athlete's Name*

First NameLast Name

Athlete Information

Birth Date*

MonthDayYear

School Name*

ex. Bush Middle, Carver High

2024 Grade Level*

Email*

example@example.com

Primary Playing Position(s)*

Overall Skill Level

Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Additional Athletes

Please list additional athletes name, age, position and skill level

Parent/Guardian Information

Name*

First NameLast Name

Cell Number*

Email*

example@example.com

Emergency Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Phone Number*

Alt. Phone Number

Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.*

Is the athlete prescribed an inhaler? If yes, please explain any instructions.*

Informed Consent and Waiver Release

I hereby give my approval for my child’s participation in any and all activities prepared by Tripl3 Thr3at Volleyball (3VB) and its affiliates during the selected activities. In exchange for the acceptance of said child’s candidacy by 3VB, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless 3VB and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected activities.

In case of injury to said child, I hereby waive all claims against 3VB, including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including volleyball and sports specific workouts. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, exposure to COVID-19 and/or death.

Medical Release and Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to 3VB and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered camp.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

PHOTO AUTHORIZATION AND RELEASE

I, hereby agree and consent to the following:

To allow the participant to use registered athlete(s) likeness in any photograph, video or other digital media (“Photos”) taken or to be taken during Triple Threat Volleyball's Camp/Clinic in any and all of its publications, including print or web-based publications

I authorize the Triple Threat Volleyball tto copy, edit, enhance, crop or otherwise alter any Photo for use in their publications. I also waive any rights for approval or inspection of any Photos.

I understand and agree that all Photos are the property of Triple Threat Volleyball, and will not be returned to me.

I acknowledge that I am not entitled to any compensation or royalties with respect to the use of the Photos.

I agree to release and forever discharge Triple Threat Volleyball and its affiliates, successors and assigns, officers, employees, representatives, partners, agents and anyone claiming through them, in their individual and/or corporate capacities from any and all claims, liabilities, obligations, promises, agreements, disputes, demands, damages, causes of action of any nature or kind, known or unknown, which I, and anyone claiming on behalf of me, may have or claim to have against Triple Threat Volleyball in connection with this Release.

I confirm I have carefully read and fully understand all the provisions of this Photo Release Form and am freely, knowingly and voluntarily signing.

Opt Out Photo Release

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signature*

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Payment Methods

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