Loading...

VIBE Volleyball Lab Liability Wavier & Release

If the athlete is 18 or over, they must sign this release and waiver. If the athlete is under 18, a parent/guardian must execute this waiver and release on behalf of the minor.

I, the athlete/parent/guardian, understand that volleyball or training is a test of a persons's physical and mental limits and carries with it the potential for property loss, minor injury, serious injury, and death. With full understanding of the potential risks, I hereby assume the risks of participating/having my child participate in volleyball and training events, including lessons, clinics, workouts, practices and any other activities at the VIBE Volleyball Lab located at 130 Eucalyptus Dr. El Segundo, CA 90254.

I, the athlete/parent/ guardian, hereby take the following actions for myself, my executors, administrators, heirs, next of kin, successors and assigns: a) I hereby waive, release, acquit and forever discharge VIBE Volleyball Lab, LLC and its officers, owners, and directors, collectively and individually, and adult supervisors and any and all persons directly or indirectly associated with VIBE Volleyball Lab and each of them from any and all acts, causes of action, claims, demands, damages, costs of expenses on account of or which may in any way develop out of any and all known and unknown personal injuries or property damages which the athlete/parent/guardian may suffer during the course of or as a result of using the volleyball court located at 130 Eucalyptus Dr. El Segundo, CA 90254 for lessons, clinics, workouts, and other activities, and travel to and from these activities; (b) I agree not to sue any of the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my/my child's actions.

If the athlete is under 18 years of age, I hereby acknowledge that I am the lawful parent and/or guardian of the above-mentioned minor. If during the course of my child's activities in volleyball or training, she/he should become ill or sustain an injury, I hereby authorize you to obtain emergency medical/dental care. I will assume financial responsibility for the bills incurred.

Photography/Video Release

Athletes involved in any activities offered by VIBE Volleyball Lab may be photographed or videotaped during training. The undersigned hereby consents to the use of these photographs and/or videos without compensation, on the VIBE Volleyball Lab website or in any editorial, promotional or advertising material produced and/or published by VIBE Volleyball Lab.

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact, including individuals without disease symptoms. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited or limited the congregation of groups of people.

The health and well-being of our staff and athletes remains our top priority. In order to minimize the risk of COVID-19 entering our environment and spreading amongst our community, we will only allow staff assigned to work and athletes scheduled to participate to be in our gym. Parents wishing to remain on site can use the parking lot to wait for their athlete(s) and are not allowed in the facility to limit the amount of people in and out.

Furthermore, all participants in activities at VIBE Volleyball Lab must agree to and abide by the procedures outlined in VIBE Volleyball Lab’s “Plan for COVID-19 Exposure Prevention, Preparedness, and Response” document.

VIBE Volleyball Lab (hereafter referred to as “VIBE”) has put in place numerous preventative measures and enhanced cleaning protocols to reduce the likelihood of spreading COVID-19 in VIBE’s gym environment; however, VIBE cannot guarantee that you or your child(ren) will not become infected with COVID-19. 

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily agree to the participation terms described above and assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending VIBE and that such exposure or infection may result in personal injury, illness, permanent disability, and death.

I understand that the risk of becoming exposed to or infected by COVID-19 at VIBE Volleyball Lab may result from the actions, omissions, or negligence of myself and others, including, but not limited to, VIBE’s employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at VIBE.

On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless VIBE, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto.

I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of VIBE , its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any VIBE activity.

 

First Athlete's Name

First Name*

Middle Name

Last Name*

Phone*
First Athlete's Date of Birth*
First Athlete's Signature*
Second Athlete's Name

First Name*

Middle Name

Last Name*
Second Athlete's Date of Birth*
Third Athlete's Name

First Name*

Middle Name

Last Name*
Third Athlete's Date of Birth*
Fourth Athlete's Name

First Name*

Middle Name

Last Name*
Fourth Athlete's Date of Birth*
Fifth Athlete's Name

First Name*

Middle Name

Last Name*
Fifth Athlete's Date of Birth*
Sixth Athlete's Name

First Name*

Middle Name

Last Name*
Sixth Athlete's Date of Birth*
Seventh Athlete's Name

First Name*

Middle Name

Last Name*
Seventh Athlete's Date of Birth*
Eighth Athlete's Name

First Name*

Middle Name

Last Name*
Eighth Athlete's Date of Birth*
Ninth Athlete's Name

First Name*

Middle Name

Last Name*
Ninth Athlete's Date of Birth*
Tenth Athlete's Name

First Name*

Middle Name

Last Name*
Tenth Athlete's Date of Birth*
Parent or Guardian's Email Address

Email
Check to receive VIBE news, updates, and more!
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!