Spiker beach New Member Medical Release Form
Spiker Beach Requires a Complete Medical Release Form For Every Athlete Prior to First Visit

Spiker Beach Volleyball Club Medical Release

Spiker Beach Volleyball Club Medical Release

This must be completed - legibly - and signed in all areas by both the player and his/her parent or guardian. I understand and agree that this de be kept in the possession of authorized club administrators and that reasonable care will be used to keep this information confidential.
By signing this form the participant affirms having read and agreed to the terms and conditions listed below.

Athlete's Information

Name
Name
First
Last
Gender
Address
Address
City
State/Province
Zip/Postal

Parent/Guardian Information

Parent/Guardian Name
Parent/Guardian Name
First
Last
Parent/Guardian Address
Parent/Guardian Address
City
State/Province
Zip/Postal

Medical Issues

Primary Insurance Information

Acknowledgment

I acknowledge that my child is in good mental and good physical condition.

I accept the risks that are associated with my child when we/I decided to allow him/her to participate.

I indemnify and hold them harmless from any injuries, demands, or death that may be sustained by my child.

I authorize the organizers to take photos and videos of my child during the program and while on the premise. I allow them to use this for educational, advertising, and marketing purposes provided that they value our privacy with respect and will not associate it with unpleasant situations.

I release the organizers from any liabilities, loss, damage, and fees during the program or while on the premise.

Consent
Consent
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