Youth Medical Release

Youth Medical Release Form

You must complete all 3 steps of the registration process.

RELEASE OF LIABILITY

In consideration of being allowed to participate in any way in the camp activities, I the undersigned, acknowledge,
appreciate, and agree that:

  1. The risk of injury from the activities involved in this program, while minor, is a risk and the potential for permanent paralysis and death does exist.
  2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsibility for my participation; and,
  3. I, for myself and on behalf of my hears, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS the Tennessee Volleyball Association, St. Cecilia Academy & Nashville Christian School, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, with RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I have read the Release of Liability form and agree to the adherence thereof

MEDICAL AUTHORIZATION

In the case that my child should sustain injury or illness during the time of the camp, I hereby authorize medical treatment deemed necessary and as prescribed by a licensed physician. I further acknowledge that I will be responsible for any medical expenses incurred on behalf of my child for physical injury or illness that he/she may sustain during the camp. I also agree to release and hold harmless Tennessee Volleyball Association, St. Cecilia Academy, and Nashville Christian School, its officers, trustees, agents and employees, including but not limited to all persons employed or hired to help with the camp from any liability for personal injury or property damage arising out of the participant’s participation.

I have read the Medical Release form and agree to the adherence thereof

Participant Name (required)

Parent Name (required)

Email (required)

Date (required)

* you will not be able to press "Send" until you agree to the liability and medical release form

* Upon submission please proceed to Payment

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