PVCA Pennsylvania East-West All-Star Match
Participant permission section: ________________________ (print player name) is given my consent to participate in organized competition involved with the Pennsylvania East-West All-Star Match. I hereby, for myself and child, my heirs, executors and administrators, do waive and release any and all rights and claims for damages we may have against the Pennsylvania Volleyball Coaches Association or other sponsors, all competition and housing sites, and assignees, for any and all injuries suffered by my child at the Pennsylvania East-West All- Star Match.
Parent/Guardian
Signature ________________________Date
Medical release: I understand and appreciate that participation in sports, despite all reasonable precautions implemented for my safety as a participant, carries a risk of serious injury, including permanent paralysis or death. I also understand and appreciate that controlling that risk is a responsibility that as a participant I must share. Consequently, unless I have expressed a particular safety concern to an appropriate, responsible person associated with this activity, by my continued participation, I am acknowledging that the risks of injury of participation are acceptable to me. Further, if I am injured, become ill, or suffer any other personal loss while involved in this activity, I and my family hold harmless the Pennsylvania Volleyball Coaches Association, sponsors and all persons given responsibility by the PVCA for the conduct of the activity and the rendering of services to me in association with my participation.
Player Signature _____________________________ Date ______________
Parent/Guardian Signature ________________________Date ___________
I further understand and agree that I will spend my time solely with the team and staff from the time of my arrival on Friday until the conclusion of the match on Saturday. I agree to abide by the rules of conduct as set forth by the coaches and/or Coaches Association representatives.
Player Signature _____________________________ Date ______________