Assumption of Risk, Waiver, and Release from Liability
Risk Factors- I understand and acknowledge that the use of equipment, fields, & facilities provided by the Program and participation in the Program involves risks including, but not limited to the following: risk of property damage, bodily injury, including, but not limited to permanent disability, paralysis, and possibly death. These risks may result from a variety of circumstances including, but not limited to, the use or misuse of the equipment or facilities, from the activity itself, health concerns, from the acts of myself or others, including Program and its agents or from the unavailability of emergency medical care.
Assumption of Risk- I am participating in the Program at my own free will. I understand that my decision to participate in the Program is entirely voluntary. I assume full responsibility for all risks that may arise out of or result from my participation in the Program. Excepted from this section are any injuries caused by the gross negligence or willful or wanton misconduct of any officials, officers, employees, agents, or volunteers of Program.
Release, Indemnify, and Defend- I hereby release, waive, discharge, and hold harmless Ron Humer, Surge Volleyball, Maidencreek Township, & all of their affiliates, predecessors, successors, trustees, officers, directors, faculty, employees, agents & representatives, past or present (hereinafter jointly referred to as “the Released Parties") from any and all claims, suits, liabilities, judgments, costs and expenses ("Claims") for any property damage, property loss or theft, personal injury or illness, death or other loss arising from or relating to my participation in the Program.
I also agree to defend, indemnify and hold harmless the Released Parties from & against any Claims arising from or related to my own acts or omissions in connection with my participation in the Program.
I have read and fully understand this Assumption of Risk, Waiver, and Release from Liability and understand that it relates to surrendering and releasing valuable legal rights. I do so freely and voluntarily.
I understand that I must pay the $160 on or before the first practice in order for my child to participate. All fees are non-refundable. Payment can be made by check made payable to "Surge Volleyball" or via paypal at https://www.paypal.me/SurgeTryout/165 (3.5% fee for online payments added).