POPE VOLLEYBALL TRYOUT/CAMP REGISTRATION
  
   Camper Information 
 Player First Name  (Required)
 
 Player Last Name  (Required)
 
 Player (Cell)
 
 Player Email  (Required)
 
 Home Address  (Required)
 
 City  (Required)
 
 State  (Required)
 
 Zip Code  (Required)
 
 
 Age at Camp  (Required)
 
 Grade Next Fall
 
 Position
 
 Height
 
 
   Contact Information 
 Father (First & Last Name)  (Required)
 
 Father (Cell)  (Required)
 
 Father Email)
 
 
 Mother (First & Last Name)  (Required)
 
 Mother (Cell)  (Required)
 
 Mother Email
 
 
 
 IMPORTANT NOTICE

THIS AUTHORIZATION FOR EMERGENCY MEDICAL TREATMENT MUST BE COMPLETED BEFORE PARTICIPANT(PLAYER/COACH/REFEREE) CAN PARTICIPATE IN ACTIVITIES. TREATMENT FOR INJURY WILL BE BASED ONINFORMATION PROVIDED HEREIN.

I the undersigned participant and parent/guardian of the above listed minor (if participant is under the age of 18) acknowledge and fully understandthat each participant will be engaging in activities that involve risk of serious injury, including permanent disability or death, and severe social andeconomic losses which might result not only from their own actions, inactions or negligence, but action, inaction or negligence of others, the rules ofplay, or the condition of the premises or of any equipment used and further, that there may be other unknown risks not reasonably foreseeable at thistime, assume all the foregoing risk and accept personal responsibility for the damages following such injury, permanent disability or death, herebyrelease, discharge, covenants to indemnify and not to sue Pope High School/Greyhound Volleyball camp, its directors, officers, employees, coaches,managers, agents, sponsors and associated personnel including those of its affiliated organizations, and the owners and lessors of premises used toconduct the event, all of which are hereinafter referred to as 'releasees', from any and all liability to each of the undersigned, his/her heirs or next ofkin for any and all against any claim by or on behalf of the applicant as a result of the applicant's participation in the Programs and/or beingtransported to or from the same, which participation, after careful consideration I hereby authorize, and which transportation I hereby authorize. Theapplicant/participant has received a physical examination by a physician and has been found physically capable of participating in the Programs. Ihereby give my consent to have an athletic trainer, coach and/or doctor of medicine or dentistry or associated personnel to provide theapplicant/participant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment.I, also agree to save and hold harmless and indemnify each and all parties herein referred to above as releasees from all liability, loss, cost, claim ordamage whatsoever, including death or damage to property, which may be imposed upon said releasees because of any defect in or lack of suchcapacity to so act or caused or alleged to be caused in whole or in part by the negligence of the releasees. I have read the above waiver/release andunderstand that (I) we have given up substantial rights by signing this release and sign below voluntarily. I understand that this document may not bealtered in any manner and that any alternation without the express written consent from Pope High School Volleyball Booster Club will cause theparticipant to be removed from the camp. (revised 4/21/08).

 
 
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