Registration – Full Payment – AirBorne Volleyball

General Information

Participant's First Name *

Participant's Last Name

Parent's First Name

Parent's Last Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

Email Address *

Age

School you currently attend

Grade entering Fall 2023

T-Shirt size

Session you're registering for *Please note that there is a registration limit for each grade group. If your grade does not show in the list above please use our contact page to request to be added to our waitlist. Thank you.

Medical Release

The information contained in this Mandatory Heath Form is confidential. The information will be disclosed only to the persons who are in need of the information. The form will be kept in a private place and will not be subject to public view.

Participant's Name

Phone

Date of birth

Health History

Any pre-existing or present medical conditions.

List any physical disabilities

Please list any medications and dosages currently being taken

Please list any allergies to medications

Emergency Contact Information

Name

Relationship

Phone

Acknowledgement *By checking the box I certify the above medical information to be true and accurate to the best of my knowledge. I also understand all reasonable safety precautions will be taken at all times by the Director, coaches and staff of AirBorne Volleyball during the practice times. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree to not hold AirBorne Volleyball, Conroe First Assembly, Lifestyle Christian School, Willis High School, Willis ISD - their employees/ coaches /directors and staff liable for damages, losses, diseases, or injuries incurred by the subject of this form.

Release Waiver

Release and Waiver of Liability and Indemnity Agreement *In consideration of being permitted to participate in any way in the AirBorne Volleyball Developmental Program at Willis ISD Schools/ Conroe First Church indicated below and/or being permitted to enter for any purpose any restricted area (here in defined as any area where in admittance to the general public is prohibited), parent(s) and/or legal guardian(s) of the minor participant below agree: 1. The parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating in the AirBorne Volleyball Developmental Program, he or she should inspect the facilities and equipment to be used, and if she believes anything is unsafe, the participant should immediately advise the officials of such condition and refuse to participate. I understand and agree that, if at any time, I feel anything it to be unsafe, I will immediately take all precautions to avoid the unsafe area and refuse to participate further. 2. I/WE fully understand and acknowledge that: a. There are risks and dangers associated with participation in volleyball events and activities, which could result in bodily injury partial and/or total disability, paralysis, and even death. b. The social and economic losses and/or damages, which could result from this risks and dangers described above, could be severe. c. These risks and dangers may be caused by the action, inaction or negligence of the participant or the action, inaction or negligence of others, including, but not limited to, the Releases name below. d. There may be other risks not known or not reasonably foreseeable at this time. 3. I/WE accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis, or death, however caused and whether caused in whole or by part by the negligence of the Releases named below. 4. I/WE HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE AirBorne Volleyball or Willis High School / Willis ISD/ Conroe First Church the used by the participant, including its owners, directors, promoters, coaches, lessees of premises used to conduct the tryouts, premises and event inspectors, underwriters, consultants and other who give recommendations, directions, or instructions to engage in risk evaluation or loss control activities regarding the AirBorne Volleyball or Willis High School/ Willis ISD/ Conroe First Church or events held at the facility and each of them, their directors, officers, agents, employees, all for the purposes herein referred to as “Releasee”…FROM ALL LIABILITY TO THE UNDERSIGNED, my/our personal representatives, assigns, executors, heirs and next to kin FOR ANY AND ALL CLAIMS, DEMANDS, LOSSES OR DAMAGES AND ANY CLAIMS OR DEMANDS THEREFORE ON ACCOUNT OF ANY INJURY, INCLUDING BUT NOT LIMITED TO THE DEATH OF THE PARTICIPANT OR DAMAGE TO PROPERTY, ARISING OUT OF OR RELATING TO THE EVENT(S) CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEE OR OTHERWISE. 5. I/WE HEREBY acknowledge that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each of THE UNDERSIGNED also expressly acknowledges that INJURIES RECIEIVED MAY BE COMPOUNDED OR INCREASED BY THE NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES. 6. EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the Province or State in which the event is conducted and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect. 7. On behalf of the participant and individually, the undersigned partner(s) and/or legal guardian(s) for the minor participant execute this Waiver and Release. If, despite this release, the participant makes a claim against any of the Releasees, the parent(s) and/or legal guardian(s) will reimburse the Releasee for any money, which they have paid the participant, or on her behalf, and hold them harmless. I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. I agree and acknowledge that my child’s photograph or image may be used by the AirBorne Volleyball program for the express purposes of promotion of the program but for no other purpose. By signing this waiver, I understand that should my child or myself contract the coronavirus during the time they are at camp, AirBorne Volleyball, Conroe First Assembly of God and Lifestyle Christian School and all of their administrators and employees are not liable or responsible for any medical bills should I come down with Covid19. In addition, should my child or anyone from our family that enters the building come down with covid19, we will promptly inform AirBorne Volleyball so that the camp attendees can be notified. Event: AirBorne Developmental session/camps/tournaments/privates Please check the box at the top of this statement if you agree

Payment Info

Select how you'd like to pay today *

Payment Amount

Credit / Debit Card *

If making a partial payment, a remaining balance of $100 due no later April 2, 2023

Acknowledgement *You understand that by submitting this registration form a deposit of $25 is non-refundable.

Registration. Fall 2023

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