Easter Skills Camp - Release Form

Athlete's name:

First NameLast Name

Which series will your athlete attend:

Age of your athlete:

Experience:

If you are new to JSV, please share your t-shirt size:

If you purchased a sweatshirt, please share the size you would like:

Does your athlete have any previous injuries? If so, please explain.

Parent name:

First NameLast Name

Parent phone number:

Parent email:

Emergency contact name:

First NameLast Name

Emergency contact phone number:

PARTICIPATION WAIVER:

I hereby waive and release, hold harmless and forever discharge Jackson Adventure Company LLC, Krystal Jackson, Curtis Jackson and all its agents, employees and affiliates and any school that is used for the camp of and from all claims, demands, causes of action, damages and liabilities of every kind and nature, arising from or in any way related to my participation in any of the events or activities.

I do hereby consent to participate in the Jackson Strength Volleyball Camp that will include volleyball skills training, competing and/or cardiovascular exercise. Because physical exercise can be strenuous and subject to risk of serious injury (including but not limited to musculoskeletal injury, spinal injuries, abnormal blood pressure responses, and rare instances heart attack or death), it is urged that you obtain physical examination from a doctor before using any exercise equipment or participating in any exercise activity. You agree that by participating in physical exercise or training activities, you do so entirely at your own risk.

You agree that you are voluntarily participating in these activities and use of these facilities and premises and assume all risks of injury, illness, or death.

Jackson Strength Volleyball Camp, Krystal Jackson, Curtis Jackson or any other coach who helps with the camp is not responsible for any loss of your personal property.

This waiver and release of liability includes, without limitations, all injuries which may occur as a result of; a) your use of all amenities, schools and equipment at the Jackson Volleyball Strength Camp and your participation in any activity, class, program, supervision, or instruction, b) the sudden and unforeseen malfunctioning of any equipment c) our instruction, training, supervision, or dietary recommendations, d) your slipping and/or falling while in Jackson Volleyball Camp or on the high school premises, including adjacent sidewalks and parking areas.

You acknowledge that you have carefully read this “waiver and release” and fully understand that it is a release of liability. You expressly agree to release and discharge the trainer/instructor from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against Jackson Volleyball Camp, for personal injury. To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence.

If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from.

By signing this release, I acknowledge that I understand its content and that this release cannot be modified orally.

My signature is proof of my intention to execute a complete and unconditional waiver and release of all liability to the fullest extent of the law. I am at least 18 years old and am mentally competent to enter into this agreement. (If you are not at least 18 years old, please have a parent or guardian sign.)

VIDEO RELEASE FORM:

Signature