16U Blitz Black Volleyball Development Camp Grades 4-6
Nov 2 Columbia School 1-4pm
Child's Name
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Grade 4
Grade 5
Grade 6
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Do you give consent for images of your child to be used on Yorkton Blitz social media for promotional purposes?
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Assumption of Risk and Personal Liability Waiver
In consideration of being allowed to participate in any way in this sports activity, related events and activities, the undersigned appreciates and acknowledges:1) I understand the risk of injury or illness from the activities involved in this sport is significant, including the potential for permanent paralysis and death; and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury or illness does exist; and, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM ALL NEGLIGENCE OF THE RELEASEES or others and assume full responsibility for my participation; and,2) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such hazard to the attention of the nearest official immediately; and,3) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS 16U Blitz Black and Yorkton Blitz Volleyball Club; and the event host/sponsor/organization or club named herein; their officers & directors, officials, agents,and/or employees, other participants, sponsoring agencies, commissions, sponsors, advertisers, volunteers, coaches, steerers, and, if applicable, owners and lessors of premises used to conduct club activities/ special event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. By signing below I acknowledge that I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY.
Signature (**I understand that by typing my name into this box, it acts as a legally binding signature to the above-mentioned Assumption of Risk and Liability Waiver)
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** Please submit your $75 registration fee to erin.patzer@gmail.com immediately to hold your child's spot
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