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LIVEWIRE VOLLEYBALL LLC - PARTICIPATION WAIVER

RELEASE FOR PERSONAL INJURY AND DAMAGE

All physical activity has risks that may range from a fall, to muscle and ligament damage, to circulatory or heart disorders. Consequently you must make sure that your health is adequate to participate in the strenuous, vigorous physical activity involved in athletic participation. It is your responsibility to check with the physician of your choice about your health status and if there is any question regarding your fitness for participation. If you, at any time during your participation, experience any distress or have any questions regarding your participation, notify your coach. Livewire Volleyball LLC provides no participant accident insurance or athletic accident insurance for tryouts or participation in any organized team training, individual volleyball training, fitness training, LWSSA  (LW Speed, Strength and Agility, including weight training)  or open gym trainings.   You must provide your own medical coverage. 

RELEASE FOR COMMUNICABLE DISEASE EXPOSURE

Participant is fully aware and hereby acknowledges and accepts all risks of exposure to communicable diseases, including but not limited to, COVID-19, Coronaviruses, and MRSA.   Be aware that communicable diseases, including COVID-19, are excluded from all insurance coverages.

WHEREAS the undersigned voluntarily desires to participate in a team practice, play session, tryout, private lesson, open gym, camp, LWSSA or fitness training; USA Volleyball sanctioned or otherwise; and

WHEREAS the undersigned is duly aware of the risks and hazards that may arise through participation in said activities and that participation in said activities may result in loss of life, limb, property, or all three, of the undersigned.

THEREFORE, it is agreed as follows:

THAT in consideration of being allowed to participate in said activities, the undersigned hereby voluntarily assumes all risks and accident or damage to his/her person or property and all risks of liability or demands of any kind sustained, whether caused by the negligence of Livewire Volleyball LLC agents or employees, or otherwise; and

THE undersigned further voluntarily agrees that the above release shall be binding upon their heirs, administrators, executors, and assigns, of the undersigned; and

THE undersigned hereby affirms having accident and medical insurance coverage and having adequate health status to participate in strenuous physical activity. The undersigned further acknowledges that the undersigned has the right to refuse to attempt, or to withdraw from the physical activity for any reason. The undersigned accepts the responsibility to report any injury, illness, distress, or  preexisting condition that may impair performance, or other problems to the Livewire Volleyball coach and staff at Livewire.

THE undersigned, by signing this release, hereby certifies that the undersigned has read and fully understands and agrees with the conditions herein provided.

Today's Date: May 19, 2025 

First Athlete's Name
First Name*
Middle Name
Last Name*
First Athlete's Date of Birth*
Date of Birth
First Athlete's Information
CLUB TEAM (most recent) *
First Athlete's Signature*
Second Athlete's Name
First Name*
Middle Name
Last Name*
Athlete's Date of Birth*
Date of Birth
Second Athlete's Information
CLUB TEAM (most recent) *
Third Athlete's Name
First Name*
Middle Name
Last Name*
Athlete's Date of Birth*
Date of Birth
Third Athlete's Information
CLUB TEAM (most recent) *
Fourth Athlete's Name
First Name*
Middle Name
Last Name*
Athlete's Date of Birth*
Date of Birth
Fourth Athlete's Information
CLUB TEAM (most recent) *
Fifth Athlete's Name
First Name*
Middle Name
Last Name*
Athlete's Date of Birth*
Date of Birth
Fifth Athlete's Information
CLUB TEAM (most recent) *
Sixth Athlete's Name
First Name*
Middle Name
Last Name*
Athlete's Date of Birth*
Date of Birth
Sixth Athlete's Information
CLUB TEAM (most recent) *
Seventh Athlete's Name
First Name*
Middle Name
Last Name*
Athlete's Date of Birth*
Date of Birth
Seventh Athlete's Information
CLUB TEAM (most recent) *
Eighth Athlete's Name
First Name*
Middle Name
Last Name*
Athlete's Date of Birth*
Date of Birth
Eighth Athlete's Information
CLUB TEAM (most recent) *
Ninth Athlete's Name
First Name*
Middle Name
Last Name*
Athlete's Date of Birth*
Date of Birth
Ninth Athlete's Information
CLUB TEAM (most recent) *
Tenth Athlete's Name
First Name*
Middle Name
Last Name*
Athlete's Date of Birth*
Date of Birth
Tenth Athlete's Information
CLUB TEAM (most recent) *
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*
Date of Birth
Parent or Guardian's Information
CLUB TEAM (most recent) *
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.


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