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Lakeside Volleyball – Participant Waiver Form
Completing this waiver is mandatory for anyone that is participating in any activity within a Lakeside Volleyball Club gymnasium. PLEASE NOTE: You are not covered by any insurance under Lakeside Volleyball Club or the Ontario Volleyball Association. Please read through the waiver thoroughly.

MM/DD/YYYY

The participant (the “Athlete”) acknowledges that they are assuming risks that may have financial and other consequences for you and/or your family should you be injured while participating in, or observing activities relating to, volleyball training and/or game play.

The Athlete acknowledges and agrees that in exchange for, and as a condition of, their participation in the activity which they are registered, they shall assume full responsibility for any injury that may be sustained in connection with their participation in the activity for which they are registered. The Athlete further acknowledges that they:

• are aware that participation in the activity in which they are registered may be hazardous and could result in injury;

• are in satisfactory physical and mental condition to safely participate in the activity in which they are registered;

• have disclosed to the instructors of any allergy or other medical condition that may affect their ability to safely participate in the activity in which they are registered;

• are competent and have read and understand the terms of this document.

Accordingly, the Athlete hereby releases Lakeside Volleyball Club Inc, its agents, employees and volunteers from all liabilities, claims, demands, actions and causes of action of any nature whatsoever arising from or related to any injury, including loss of life, that the Athlete may sustain, howsoever arising, including any damage, loss, theft or destruction of property, injury or death resulting from the negligence of Lakeside Volleyball Club, its agents, employees or volunteers, while attending at, participating in or travelling to the activity in which they are registered.

DISCLOSURE SUMMARY:

By signing this waiver, the participant understands that they are not covered by insurance policies under Lakeside Volleyball Club, Ontario Volleyball Association, the Halton District School Board (HDSB), Halton Catholic District School Board (HDCSB) or any facility or subsidiary of related Organizations, Associations or Boards mentioned above.

The participant assumes all risk associated with participating in any activity facilitated by Lakeside Volleyball Club.

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LAKESIDE VOLLEYBALL

Girls Youth Volleyball for the Region of Halton
Oakville, Ontario, Canada

info@lakesidevb.com

Member of the Ontario Volleyball Association
Member of Volleyball Canada
Member of Junior Volleyball Association (USA)
Member of Amateur Athletic Union (USA)

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