Consent and Release Form

Consent and Release Form

Northland Royals Girls Volleyball Team

2018 Winter Training

I, the undersigned parent or guardian, do consent to my child, ______,

participating in volleyball with the Northland Royals team during the 2018 Winter Training session. If my child has medical conditions which may be relevant to a physician in the event of an emergency, I have listed them below. In the event of an emergency, I may be reached at the telephone number(s) listed below. If I cannot be reached, I hereby authorize the team coach or an adult sponsor to make emergency medical decisions for my child. If there are any activities I do not want my child to be involved in, I have listed them below.

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I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED ON SAID ACTIVITY, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby agree to hold the Northland Royals, their coaches and managers, and the Redemption Bible Church and its agents and employees, harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to my child or property, which I now have or which may arise in the future in connection with the activity or participation in any other associated activities.

I further state that I HAVE CAREFULLY READ THE FOREGOING MEDICAL RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement which I have read and understand.

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Parent or Guardian Signature Date E-mail

(______)______(______)______

Area Code Phone # Area Code Alternate Phone #

Medical conditions to be aware of:

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Activities in which the child may not participate, if any: ______

I agree to pay the fee of $60 for the Tuesday/Friday only session or $100 for both Tuesday and Friday sessions of Winter Training, no later than the first day of Winter Training. Please write checks to the “Northland Royals.” NO CASH PLEASE. An accountability ledger for the team is available at any time if you would like to see how the funds are being used.

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Parent or Guardian Signature