Coach Nahla Vball Summer Skill Work Registration (Hitting Clinic June 29th-July 3rd)

Coach Nahla Vball Summer Skill Work Registration

Complete this form to register your player and share key contact, experience, and medical information for the summer.
Player Information
Player Full Name

First NameMiddle InitialLast Name
Preferred Name / Nickname
Date of Birth

MonthDayYear
Date
Age
Grade
Gender
School Attending (Fall 2026)
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Day Pass or Skill Work Week?
Parent / Guardian Contact Information
Primary Parent/Guardian Full Name

First NameMiddle InitialLast Name
Relationship to Player
Primary Phone Number (Mobile/Home/Work)
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Email Address
example@example.com
Secondary Parent/Guardian Full Name

First NameMiddle NameLast Name
Secondary Parent/Guardian Contact Details
Best Way to Contact You
Best Time(s) to Contact You
Player Experience & Background
Years participated in this sport
Previous teams, leagues, or clubs played for
Primary position(s) played
Secondary position(s) played
Level of experience
Previous coaching or training programs attended
Player Interests & Goals
What do you hope to get out of this season?

Other
Favorite part of playing this sport
Specific skills or areas you want to improve
Interest in tournaments or competitive events if available
Health, Medical, and Safety Information
Does the player have any allergies?
If yes, please describe allergies (food, medication, environmental)
Does the player have any medical conditions?
If yes, please describe medical conditions
Current medications (optional)
Emergency contact name if different from parent/guardian

First NameMiddle NameLast Name
Emergency contact phone number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred hospital or clinic (optional)
Physician name (optional)

First NameMiddle NameLast Name
Physician phone number (optional)
Please enter a valid phone number.Format: (000) 000-0000.
Scheduling & Logistics
Transportation arrangement

Other
Jersey/Shirt size
Liability Waiver & Legal Agreements
ASSUMPTION OF RISK (DELAWARE)

I understand that participation in volleyball activities offered through Coach Nahla Vball (“Program”) is voluntary and involves inherent and unavoidable risks that cannot be completely eliminated regardless of the care taken by coaches, staff, participants, property owners, or facility operators.

I voluntarily choose to participate, or permit my minor child to participate, and acknowledge that participation may include, but is not limited to: volleyball clinics, lessons, camps, training sessions, open play, practices, scrimmages, demonstrations, conditioning, warm-ups, travel between activity areas, and activities conducted at public parks, rented facilities, borrowed spaces, schools, churches, gyms, or other locations.

I understand and acknowledge that risks may include, without limitation:

• slips, trips, falls, diving, jumping, landing, and collisions;
• contact with volleyballs, nets, poles, equipment, structures, or other participants;
• overexertion, dehydration, fatigue, heat exposure, weather conditions, and environmental conditions for indoor and outdoor activities;
• muscle strains, sprains, bruises, cuts, fractures, dislocations, concussions, head injuries, eye injuries, and other physical injuries;
• aggravation of pre-existing medical conditions;
• actions or omissions of participants, spectators, or third parties;
• emergency situations where immediate medical attention may be necessary.

I understand that volleyball is an athletic activity involving physical movement and that injuries ranging from minor to serious may occur.

I represent that I (or my child) am physically capable of participating and have disclosed any known medical restrictions or concerns relevant to safe participation.

I agree to follow program rules, safety instructions, and directions provided by coaches and staff and understand that failure to do so may increase the risk of injury.

BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ THIS SECTION, UNDERSTAND THE INHERENT RISKS OF PARTICIPATION, AND KNOWINGLY AND VOLUNTARILY ASSUME THOSE RISKS TO THE FULLEST EXTENT PERMITTED BY DELAWARE LAW.
Sign Here
RELEASE OF LIABILITY (DELAWARE)

In consideration of being permitted to participate, or permitting my minor child to participate, in activities offered through Coach Nahla Vball (“Program”), I, on behalf of myself and/or my minor child, agree as follows:

To the fullest extent permitted by Delaware law, I release and discharge Coach Nahla Vball, its owner, coaches, instructors, staff, volunteers, contractors, assistants, facility operators, property owners, and affiliated organizations (collectively, the “Released Parties”) from claims, demands, actions, causes of action, damages, losses, costs, expenses, or liability arising out of or relating to participation in Program activities.

This release applies to claims for bodily injury, personal injury, illness, property damage, economic loss, or other damages arising from participation in Program activities, except to the extent prohibited by applicable law.

I understand that this Release applies to activities including, but not limited to, clinics, lessons, camps, open play, practices, scrimmages, conditioning, demonstrations, warm-ups, and activities occurring at public parks, rented facilities, borrowed spaces, schools, churches, gyms, or other approved locations.

I acknowledge that participation is voluntary and that I have had the opportunity to ask questions regarding Program activities and associated risks before signing this Agreement.

I understand and agree that this Release is intended to be interpreted as broadly as permitted under Delaware law.

If any portion of this Release is determined to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

I certify that I am at least 18 years old or, if signing for a minor participant, that I am the parent or legal guardian authorized to sign on the minor’s behalf.

BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ THIS RELEASE OF LIABILITY, UNDERSTAND ITS TERMS, AND VOLUNTARILY AGREE TO ITS CONDITIONS.
Sign Here
Final Confirmation
How did you hear about this program?

Other
Any additional information you'd like us to know
Final acknowledgment
Should be Empty:

Coach Nahla Vball Summer Skill Work Registration

Player Information

Parent / Guardian Contact Information

Player Experience & Background

Player Interests & Goals

Health, Medical, and Safety Information

Scheduling & Logistics

Liability Waiver & Legal Agreements

Final Confirmation