Rec Volleyball Registration DI {

Rec Volleyball League Registration - Girls Division 1

 Girls Division 1 is for grades 4 - 6 without club experience


League *
 Girls Division 1
Player's First Name *
Player's Last Name *
Parent's Name *
Street Address
City *
State *
Zipcode *
Parent's Phone *
Player's Phone *
Parent's Email *
Player's Email *
Gender *
 Female
Age *
Month of Birth *
Day of Birth *
Year of Birth *
Height *
School *
Grade *
Shirt Size *
Comment
I or my parent would like to volunteer to help coach a team *


CONSENT TO PARTICIPATE AND MEDICAL TREATMENT WAIVER OF LIABILITY:
PART A *
 CONSENT TO PARTICIPATE:
I hereby consent to my child (or myself if I am a player 18 years of age) participating in this and related MVSA VBC, Inc. volleyball activities. In the case of a player of 18 completing this form, where this document mentions ‘child’ it refers to the 18 year old player. My child is in good health and is able to participate in all normal athletic activities. Before agreeing to this release and waiver, all players and their parents are strongly encouraged to consult with qualified medical personnel and/or public health officials for medical advice and consult federal, state, and local orders and/or laws for legal considerations.
PART B *
 ACKNOWLEDGEMENT OF RISKS AND WAIVER AND RELEASE OF LIABILITY:
I acknowledge that I am the parent or legal guardian of the child I am registering. I give my permission for my child to participate in volleyball and related activities with the MVSA VBC, Inc. I understand that each participant will be engaging in activities that involve the risk of serious injury and there may be other risks incident to such activities that may not be known or reasonably foreseeable.
PART C *
 COVID-19 AND OTHER ILLNESSES:
I hereby agree that I will not send my child to participate in any MVSA VBC, Inc. activities, be it official or unofficial, if she or anyone she comes in direct contact with has a cough, shortness of breath or difficulty breathing, fever of 100.4 degrees or higher, chills, muscle pain, sore throat, or new loss of taste or smell. This list is not all possible symptoms. Other less common symptoms have been reported, including gastrointestinal symptoms like nausea, vomiting, or diarrhea.
PART D *
 I UNDERSTAND AND HEREBY AGREE TO THE FOLLOWING:
1. Participation includes possible exposure to and illness from infect
ious diseases, including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness, injury, and death does exist.
2. If I or my child have a pre-existing health condition, exposure to COVID-19, or any other infectious disease may be more likely to cause serious illness, injury, or death.
3. MVSA VBC, Inc. cannot ensure that all other participants, including coaches and volunteers, are taking precautionary measures to mitigate risks to ensure the health and safety of other participants, coaches, and volunteers, and therefore, participation in an MVSA VBC, Inc. event involves risk of exposure to infectious disease.
4. I certify that neither my child nor I have recently tested positive for, and am not exhibiting symptoms of COVID-19, which include a cough, shortness of breath or difficulty breathing, loss of taste or smell, headache, chills, muscle or body aches and/or sore throat.
5. I certify that I do not have a household family member/roommate who has recently tested positive for or exhibited the above-referenced symptoms of COVID-19.
6. I willingly agree to comply with all recommendations provided by MVSA VBC, Inc. to ensure safe play. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove my child from participation and bring such to the attention of the nearest coach, staff member, volunteer, or official immediately.
7. I also agree to notify MVSA VBC, Inc. within 24 hours of results if my child or anyone she currently lives with, or has close association to, has a positive test for Covid-19.
PART E *
 I RELEASE MVSA VBC, INC:
I release the MVSA VBC, Inc., its coaches, and volunteers from any responsibility for injury or loss before, during or after practices, games, or competitions. I agree to indemnify and hold harmless the volleyball team, the coaches, MVSA VBC. Inc., and other designees or agents from any loss, cost, damage, claim or other expense suffered or incurred that may arise during or be caused in any way by such activity, including any loss or injury of any kind alleged to be the result of any negligence by the volleyball team, MVSA VBC, Inc., its coaches, and other designees or agents. I understand that in so doing I am giving up substantial rights. I hereby consent to any emergency treatment administered to my child on my behalf. To the best of my knowledge there are no physical or other conditions that may interfere with my child’s participation. I understand that MVSA VBC. Inc. does not provide medical insurance coverage for any accident, injury, or illness and subsequent costs thereto arising from any involvement in any MVSA VBC. Inc. event, be it official or unofficial.
PART F *
 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 AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
PART G *
 FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION):
This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.
I AGREE: *
 By completing this on-line registration form and paying for the registration, you certify you have read, agree, understand, and accept all elements of the above Waivers and Liability statements.

Payment Fee *
 $25- Registration Fee (Non-refundable)