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Volleyball Player Waiver
Peaceful & Recreational Athletics, Inc. Player Waiver Form
Player's Full Name
What part of the PDX area are you from?
Player cell (if player under 18 - parents fill out bottom of page)
Important for league to have your cell- so we can notify you of last minute game changes (our last minute notices are done by text only)
Email address
As an athlete in such sports, I am familiar with methods of conducting volleyball and the inherent risk of physical injury, and I hereby waive, relinquish, and release any an all right to claim to damages which may occur to myself; I acknowledge that the league will
not
supply medical insurance (health insurance) and accident insurance and so if I am concerned about injuries, I understand that I will carry
my own
health insurance.
The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death. The risk of serious injury is substantial and people do get injured on a regular basis
- this risk is real and does exist; I have read this
release of liability and assumption of risk agreement
, I fully understand its terms and I understand that I have given up substantial rights by signing it, and I sign this freely and voluntarily without any inducement. I choose to play and in fact, I would be playing elsewhere in open gyms and other recreational games if I were not playing in
this
recreational/amateur situation right now, so any injuries that occur in this program would have just as easily occurred in any other game that I would have been playing. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest supervisor immediately. I- for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Peaceful & Recreational Athletics, Inc. doing Volleyball as the Meetup group Rose City Adult Volleyball- their officers, supervisors, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners of premises used to conduct the event. Injuries- even serious injuries occur in adult recreational sports and I accept that risk (signature)
.
I realize that Peaceful & Recreational Athletics, Inc. is running these volleyball events,
NOT
the gym or school being used. Restated: the gym or school has
nothing
to do with these open gyms and games. Restated as an example: Columbia Christian High School, Beaverton Hoop, nor
any
gymnasium - is NOT running these volleyball events; rather those are just
gyms being rented by Peaceful & Rereational Athletics Inc. and have absolutely nothing to do with this league;
in no way can a venue be held liable for my injuries (signature):
.
I realize that confrontations, yelling, and any sort of anger are strictly prohibited. If any sort of conflict arises
I will not confront the situation, but rather, I will remove myself from the situation
immediately. If the problem is bad enough, I will call the league at 5033804539 - but I will not take matters into my own hands- (signature)
.
I realize that when I '
hold
' a spot, there are
no refunds
or credits for cancelling. This means 1 or 2x per year you might pay $$ and not play. (signature)
.
I understand that the LISTINGS for volleyball are on the Meetup page. You will check
THAT
page for days, times and costs. Please do NOT ask Mikal directly (as Mikal often is too busy to look it up for you).
.
By signing this box, I consent to receive Notification and Update Texts from Peaceful & Recreational Athletics, Inc, Message frequency varies, Reply HELP for Info, STOP to Opt-out, Message and data rates may apply. Privacy Policy : Your data is secure with us and we will not share or sell it with third parties for marketing and promotional purposes.
I realize that alchohol is prohibited on all campuses we use for Volleyball (including parking lots) (signature)
.
Emergency contact phone # in case of serious injury