Thanksgiving & Christmas Break Trainings and Games
- Training Fee: $35 Per Session.
* Anyone registering for 2 or more sessions will receive $5 discount per session.
- Select Your Session(s) |
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Write the session(s) & time(s) you selected in your calendar, now. |
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Parent / Guardian Contact Information |
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Parent / Guardian Release - Hold Harmless Agreement: |
Health Waiver
PLEASE READ BEFORE SIGNING - you will be able to provide the mandatory signature at the beginning of the online form
In consideration of being allowed to participate in any way in the Club North and KC Premiere Volleyball, LLC., athletics/sports program whether involving team or individual sports and related events and activities, the undersigned acknowledges, appreciates, and agrees that:
The risk of injury and/or illness from the activities involved in the program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist;
The risk to have direct or indirect contact with individuals who have been exposed to and/or diagnosed with one or more communicable diseases, including but not limited to COVID-19 or other medical conditions, diseases, or maladies, and/or any mutation or variation thereof does exist and it is impossible to eliminate the risk that I could become infected through contact with or close proximity to an individual with a communicable disease;
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,
I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual, significant hazard during my presence or participation, I will remove myself from participation and bring such hazard to the attention of the nearest official immediately; and,
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS CLUB NORTH & KC PREMIERE VOLLEYBALL,LLC, its officers, officials, agents and/or employees, other participants, sponsoring agencies, directors, sponsors, advertisers, and, if applicable, owners and lessors of the premises, including Parkville Athletic Club, LLC; PRTSC, LLC; Don & Faye Alexander and M&M Beans, LLC., used to conduct the event (collectively, the "Releases"), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
FOR PARENT/GUARDIAN OF PARTICIPANT OF MINORITY AGE: This is to certify that I, as parent/legal guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and, for myself, my heirs, assigns and next of kin, I release and agree to indemnify the Releases from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.
By signing up for this training session, camp or league, I, as the parent or legal guardian, agrees to the above statements. I agree that typing in my name acts as my legal signature. |
By providing my name and date in the following spaces, I agree to the above Parental Release/Hold Harmless Agreement |
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Once you have filled out the form to your satisfaction click SUBMIT. Your info will be sent to us. After submitting your registration, you will receive an email with invite to pay within 24 hours. If you registered and have not receive an invite to pay after 24 hours, please contact Coach Ib at vbtrainer@aol.com. |
Click the Submit Button only once; do not double click. |
If, on clicking Submit, you get a RED screen - scroll back up to review; you have inadvertently failed to provide information in a "required" field(s). |
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