Fillable INTERNATIONAL VOLLEYBALL WAIVER PDF

INTERNATIONAL VOLLEYBALL WAIVER AND
RELEASE
Participant’s Name ________________________________________Date of Birth____ /____ /____
Address __________________________________City/State Zip_____________________________
Age_______ Grade______ Email_____________________________
Home Phone_______________ Work Phone_________________ Cell Phone __________________
Emergency Contact ____________________________________________________
Relationship to Participant ______________________________________________
Day Time Phone Number____________________ Alternate Phone Number____________________
AGREEMENT, WAIVER AND RELEASE
I, __________________________(“Participant”), acknowledge that I have voluntarily applied to

participate in the following activities at INTERNATIONAL VOLLEYBALLCAMP.
In consideration of being permitted by INTERNATIONAL VOLLEYBALL CAMP to participate in
activities INTERNATIONAL VOLLEYBALL CAMPS, I hereby waive, release and discharge any
and all claims for damage for personal injury, death or property damage which I may have, or which may
hereafter accrue to me, as a result of participation in activities at said facilities. This release is intended to
discharge in advance INTERNATIONAL VOLLEYBALL CAMP its officers, employees and agents
from any and all liability arising out of or connected in any way with my participation in activities at this
or any other INTERNATIONAL VOLLEYBALL CAMP facilities even though that liability may
arise out of negligence or carelessness on the part of those parties. It is understood that activities such as
the ones I will be participating in involve an element of risk and danger of accidents and knowing those
risks, I hereby assume those risks. It is further agreed that this waiver, release and assumption of risk is to
be binding on my heirs and assigns. I agree to indemnify and to hold harmless, INTERNATIONAL
VOLLEYBALL CAMP, its officers, employees and agents from any loss, liability, damage, cost or
expense which they may incur as the result of my death or any injury or property damage that I may
sustain while participating in any activity at this or any other Recreation facility. I understand that by
participating all Participants consent to photo images taken by INTERNATIONAL VOLLEYBALL
CAMP staff during this activity to be used in any or all INTERNATIONAL VOLLEYBALL CAMP
publications and websites.
CONSENT OF PARENT/GUARDIAN (If Participant Is A Minor)
I am the parent or legal guardian of the participant listed above. I hereby consent that the participant may
participate in activities at this, or any other activity provided by INTERNATIONAL VOLLEYBALL
and I hereby execute the Agreement, Waiver and Release on his/her behalf. I hereby affirmatively
state that the said Participant is physically able to participate in said strenuous physical activities. I hereby
agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss,
liability, damage, cost or expense that they may incur as result of the death or any injury or property
damage that said participant may sustain while participating in activities at any such INTERNATIONAL
VOLLEYBALL facility.
I HAVE CAREFULLY READ All PAGES OF THIS AGREEMENT, WAIVER AND

RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THESE
ACTIVITIES ARE HAZARDOUS ACTIVITIES AND THAT I COULD BE SERIOUSLY INJURED
OR EVEN KILLED. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH
KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS
OF BODILY INJURY, DEATH OR PROPERTY DAMAGE, WHETHER THOSE RISKS ARE
KNOWN OR UNKNOWN. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A
CONTRACT BETWEEN MYSELF AND INTERNATIONAL VOLLEYBALL, I SIGN
IT OF MY OWN FREE WILL.
Print Name ___________________________________Relationship_________________________
Signature________________________________________ Date___________________________
I, ______________________________________the parent of __________________________ fully

understand that by participating in private lessons, group lessons, clinics or any other form of volleyball
coaching performed by Coach Vanja Todorovic, I will not receive any preferential treatment especially as
it pertains to tryouts, be it Club or Highschool. Furthermore, I certify that I was not approached, coerced
or enticed to participate in the above-mentioned activities by Coach Todorovic or others.
____________________________________ ___________
Parent Name Printed and signed Date
____________________________________ ___________
Player Name Printed and signed Date
____________________________________ ____________
Coaches Name Printed and signed Date
INTERNATIONAL VOLLEYBALL CAMP VIDEO RELEASE AGREEMENT
I, ___________________ hereby grant and authorize Coach Vanja Todorovic and International
Volleyball LLC, the right to take, edit, alter, copy, exhibit, publish, distribute and make use of
any and all volleyball video taken of my daughter to be
used in and/or for any lawful purpose.
This authorization extends to all languages, media, formats and markets now known or later
discovered.
This authorization shall continue indefinitely, unless I otherwise revoke this authorization in
writing.
I waive the right to inspect or approve any finished product in which my likeness appears.
I agree that I have been compensated for this use of my likeness or have otherwise agreed to
this release without being compensated. I waive any right to royalties or other compensation
arising or related to the use of the video.
I understand and agree that these materials shall become the property of Coach Vanja
Todorovic and will not be returned.
I hereby hold harmless and release Coach Vanja Todorovic from all liability, petitions, and
causes of action which I, my heirs, representative, executors, administrators, or any other
persons may make while acting on my behalf, my daughter’s behalf or on behalf of my estate.
Printed Name: _________________________________
Signature: ____________________________________ Date: ________________________
To Whom It May Concern,
I ______________________________________the parent of __________________________

fully understand that by participating in private lessons, group lessons, clinics or any other form
of Volleyball coaching performed by Coach Vanja Todorovic, I will not receive any preferential
treatment especially as it pertains to tryouts, be it Club or Highschool. Furthermore, I certify that
I was not approached, coerced or enticed to participate in the above-mentioned activities by
Coach Todorovic or others.
____________________________________ ___________
Parent Name Printed and signed Date
____________________________________ ___________
Player Name Printed and signed Date
____________________________________ ____________
Coaches Name Printed and signed Date

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INTERNATIONAL VOLLEYBALL WAIVER AND

Address ______City/State Zip_

Age_ Grade Email_________________________

Home Phone_______ Work Phone_ Cell Phone __________

Emergency Contact ____________________________________________________

Relationship to Participant ______________________________________________

Day Time Phone Number Alternate Phone Number

AGREEMENT, WAIVER AND RELEASE

I, __________________________(“Participant”), acknowledge that I have voluntarily applied to

CONSENT OF PARENT/GUARDIAN (If Participant Is A Minor)

I HAVE CAREFULLY READ All PAGES OF THIS AGREEMENT, WAIVER AND

Print Name ___________Relationship_

I, ____________the parent of fully

INTERNATIONAL VOLLEYBALL CAMP VIDEO RELEASE AGREEMENT

Printed Name: _________________________________

Signature: ____________ Date:

To Whom It May Concern,

I ____________the parent of

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