Elevate Volleyball 15u/16u Girls Fall Camp Registration & Consent Form

Elevate Volleyball15u/16u Girls Fall Camp

Registration & Consent Form
Location: Steinbach Event Centre

Sessions run on the following dates from 3pm-4:30pm:

September 13th, 20th, 27th

October 4th, 11th, 18th, 25th

November 1st, 8th, 22nd
Athlete Information
Athlete's Name

First NameLast Name
Birth Date

MonthDayYear
Gender
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Phone Number
Alt. Phone Number
Phone Number
Email
example@example.com
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.
Do you consent to your child being on social media for the promotion of Elevate Volleyball
Informed Consent and Waiver Release

I hereby give my approval for my child’s participation in any and all activities prepared by Elevate Volleyball and its affiliates during the selected activities. In exchange for the acceptance of said child’s candidacy by Elevate Volleyball, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Elevate Volleyball and all its respective coaches, workers, 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 Elevate Volleyball, 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.
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

Please note that this is a Non-Refundable cost. Once paid, your child is registered and locked into their spot.

My Products

15u/16u Fall Camp$300.00 CAD

10 Sessions

Total $0.00 CAD

Payment Methods
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

Elevate Volleyball15u/16u Girls Fall Camp

My Products