Club Koa 12s-14s Tryout Registration

Club Koa Volleyball Tryouts

September 28, 12-1:30pm West Valley Christian Church, 22450 Sherman Way, West Hills
Player Name*

First NameLast Name
Player Birth Date*

MonthDayYear
Player School*
Player's Preferred Position(s)*
Player Email
Parent Phone Number*
Parent Email*
example@example.com
Parent(s) Name(s)*
When being placed on a team, your primary objective is...*

Playing on a team with friendsReceiving the most playing time possiblePlaying on the highest level team possible, even if playing time is not guaranteed
Participation and assumption of risk: I, the undersigned, acknowledge that I have voluntarily enrolled my child, as named above (referred to as “player”) to participate in club volleyball tryouts for Club Koa, which shall encompass, but is not limited to, skill drills, contact drills, competition drills, and conditioning. I understand that club volleyball events, including but not limited to tryouts, clinics, practices, private and group lessons, involve strenuous physical activities, which may result in injury to the participants depending on the participant’s state of health and general condition. I warrant that the player is in good general health, and the player has not been advised by a medical doctor, or anyone else that the player should not engage in physical activities. The player is voluntarily participating in these activities with knowledge of the hazards involved and we hereby agree to accept any and all risks of injury or death. As consideration for being permitted by Club Koa to participate in these activities and to use one of Club Koa’s facilities including but not limited to West Valley Christian Church, I hereby agree that I, my assignees, heirs, guardians and legal representatives will not make claim against, sue or attach the property of Club Koa or any of its facilities (or the supplier of any equipment that will be used) for injury or damage resulting from acts howsoever used by any employee, volunteer, agent, or contractor of Club Koa as a result of the player’s participation in this given volleyball event. I hereby release Club Koa and any of it employees, volunteers, agents, contractors, or facilities from all actions, claims, or demands that I, my assignees, heirs, guardians and legal representatives now have or may hereafter have for injury or damage resulting from her participation in this given volleyball event. If during the course of the player’s activities in this given volleyball event, she becomes ill or sustains injury, I hereby authorize Club Koa, its volunteers, agents, employees or representatives to obtain emergency medical/dental care for the player unless otherwise indicated below. I will assume ﬁnancial responsibility for any and all bills incurred as a result of any treatment. I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability between me, Club Koa and its employees,volunteers, agents or contractors and any of the facilities that it uses, and I sign it of my own free will.

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Club Koa Volleyball Tryouts