Consent Form

2017 GEE GEE'S SUMMER VOLLEYBALL LEAGUE 2017
PLEASE CHECK THIS SITE FOR VBALL CANCELLATIONS
EMAIL : ggsvball@gmail.com
THIS IS AN ADULT LEAGUE, ALL PLAYERS MUST BE 18 OR OLDER

Your Subtitle text

Consent Form copy and print this form... one for each player

GEE-GEE’S VOLLEYBALL 2017

CONSENT FORM...CONSENT FORM...CONSENT FORM

I HEREBY AGREE TO PARTICIPATE AS A TEAM MEMBER IN THE SPORT DESIGNATED BELOW.

I UNDERSTAND THAT THERE ARE CERTAIN RISKS OF INJURY INHERENT IN THE PRACTICE AND PLAY OF THIS SPORT, AS WELL AS IN TRAVELING AND OTHER RELATED ACTIVITIES INCIDENTAL TO MY PARTICIPATION, AND I AM WILLING TO ASSUME THESE RISKS. I HEREBY CERTIFY THAT I AM FULLY CAPABLE OF PARTICIPATING IN THE DESIGNATED SPORT AND THAT I A M HEALTHY AND HAVE NO PHYSICAL OR MENTAL DISABILITIES OR INFIRMITIES THAT WOULD RESTRICT FULL PARTICIPATION IN THESE ACTIVITIES, EXCEPT AS LISTED BELOW. IN ADDITION TO GIVING FULL CONSENT FOR MY PARTICIPATION, I DO HEREBY WAIVE RELEASE AND HOLD HARMLESS THE ORGANIZATION NAMED BELOW, ITS OFFICERS, COACHES, SPONSORS, SUPERVISORS AND REPRESENTATIVES FOR ANY INJURY THAT MAY BE SUFFERED BY ME IN THE NORMAL COURSE OF PARTICIPATION IN THE DESIGNATED SPORT AND THE ACTIVITIES INCIDENTAL THERETO, WHETHER THE RESULT OF NEGLIGENCE OR ANY OTHER CAUSE.

NAME _______________________________________ DATE OF BIRTH _______

ADDRESS _______________________________________

_______________________________________

  PHYSICAL LIMITATIONS (ALLERGIES, HEARING, SIGHT, ETC.) (in case of emergency)

                        _______________________________________
GEE-GEE’S, MANASQUAN   DESIGNATED SPORT   BEACH VOLLEYBALL

SIGNATURE __________________________________________ DATE _______________

PHONE NUMBER à _____________________ CELL # ___________________________

Email Address _______________________________________
THIS IS AN ADULT LEAGUE.. PARTICIPANTS MUST BE 18 OR OLDER.