PENNSYLVANIA VOLLEYBALL COACHES ASSOCIATION

Regional All-Star Match

Participant permission section:                                                       (player) is given my consent to participate in organized competition involved with the Pennsylvania Volleyball Coaches Association (PVCA) Regional All-Star Volleyball Match. I hereby, for myself and child, my heirs, executors and administrators, do waive and release any and all rights and claims for damages we may have against the Pennsylvania Volleyball Coaches Association or other sponsors, all competition sites, and assignees, for any and all injuries suffered by my child at the PVCA Regional All-Star Match.

Parent / Guardian Signature                                                                    Date                            

Medical release: I understand and appreciate that participation in sports, despite all reasonable precautions implemented for my safety as a participant, carries a risk of serious injury, including permanent paralysis or death. I also understand and appreciate that controlling that risk is a responsibility that as a participant I must share. Consequently, unless I have expressed a particular safety concern to an appropriate, responsible person associated with this activity, by my continued participation, I am acknowledging that the risks of injury of participation are acceptable to me. Further, if I am injured, become ill, or suffer any other personal loss while involved in this activity, I and my family hold harmless the Pennsylvania Volleyball Coaches Association, sponsors, and all persons given responsibility by the Pennsylvania Volleyball Coaches Association for the conduct of the activity and the rendering of services to me in association with my participation.

Player Signature                                                                                    Date                            

Parent / Guardian Signature                                                                    Date                            

I agree to abide by rules of conduct as set forth by the coaches and/or Pennsylvania Volleyball Coaches Association representative.

Player Signature                                                                                    Date