Liability Waiver

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CINCINNATI PREMIER YOUTH VOLLEYBALL LEAGUE RELEASE AND WAIVER OF LIABILITY (Including General Release and Covenant Not to Sue)

IN CONSIDERATION of my minor child(ren) being allowed to participate in any way in the CINCINNATI PREMIER YOUTH VOLLEYBALL LEAGUE ("CPYVL”), and on behalf of my minor child(ren), the undersigned agrees and states as follows:

  1. I understand that even though CPYVL rules, equipment, training, and discipline are designed to avoid any injury, the risk of injury from activities involved in the CPYVL program is significant, including the potential for permanent paralysis and death.
  2. On behalf of my child(ren) and for myself, I knowingly and freely assume all such risks, arising out of, related to and resulting from participation in this program, both known and unknown, including but not limited to practices, tournaments and games or otherwise, even if arising from the negligence of the CPYVL, its officers, members, coaches, commissioners, officials, employees, volunteers, and others acting on the CPYVL’s behalf (collectively, the “Releasees”), and assume full responsibility for my child(ren)’s participation to the fullest extent of the law.
  3. I willingly agree to comply with the stated and customary terms and conditions of the CPYVL for the participation of my child(ren). If, however, I observe any risk of injury or death which is not inherent in the CPYVL program while my child(ren) participate(s) in the program, I will remove my child(ren) from participation immediately.
  4. I, for myself and on behalf of my child(ren), our heirs, assigns, representatives, and next of kin, hereby release and hold harmless the Releasees with respect to any and all injury, disability, death, loss or damage to person or property, arising out of, resulting from, related to, or connected with, in any manner whatsoever, directly or indirectly, the participation or involvement of my child(ren) in the CPYVL program.
  5. I hereby certify that, as the parent or guardian of my child(ren), I have legal responsibility for and authority to sign this Release and Waiver of Liability on behalf of my child(ren). I further certify that I have read this Release and Waiver in full, understand its terms, understand that substantial rights will be given up by signing it, and sign it voluntarily, without duress or coercion.

I represent that I have adequate insurance to cover any injury or damage my child may suffer or cause while participating in a CPYVL activity, or else I agree to bear the costs of such injury or damage myself. I further represent that my child has no medical or physical condition which could interfere with his/her safety in this activity, or else I am willing to assume and bear the costs of – all risks that may be created, directly or indirectly, by any such condition.

PLEASE NOTE that you are submitting an electronic form. By checking the box below, you are also agreeing that by typing your name into the Parent or Guardian Name box below, that this constitutes a binding agreement and that all information provided in the form is correct.

please enter your name
Please enter an email address if you would like a copy of your Liability Waiver emailed to you
enter your cell OR home phone number in xxx-yyy-zzzz format
please select the organization your child is playing for this season (DO NOT CHOOSE CPYVL, your child is playing for Indian Hill, White Oak, Batavia, etc ...)
Enter your CHILD'S NAME, not your name!
Format: 09/18/2018
enter the birth date of your player (this is used to match the waiver to a roster entry!)
please enter your player's current grade in school
please enter the name of the school your child is currently attending
please choose the type of insurance you have for your player (e.g. commercial = Anthem, United Healthcare, etc ...; government = Medicare, Medicaid, or other government funded types of insurance; self-insured = something other than commercial or government)
indicate whether or not you need to fill out a liability waiver for another child
enter the birth date in string format (i.e. mm/dd/yyyy)