CAMP WAIVER

Parent/Guardian's Name

First Name

Last Name

Email

Phone

(###)

###

####

Athlete's Name

First Name

Last Name

Grade

6th

7th

8th

CAMP WAIVER

Recognizing the potential for serious injury while participating in the activity specified below, the undersigned hereby agrees to release, discharge, and indemnify Dvlp, its officers, trustees, employees, and/or agents from any liability, loss, or damage resulting from injury to person or property while participating in such a program wherever occurring. The participant agrees that Dvlp, its officers, trustees, employees, and/or agents are released, and indemnified discharged from liability resulting from negligence of Dvlp, its officers, trustees, employees, agents, and/or that of third parties. In Addition the undersigned recognizes and understands as a participant in a club sport, student organization, or student activity as specified below, that there are inherent risk involved in such physical activity and use of related equipment to cause potential bodily injury. The undersigned acknowledges that there are such dangers and risk including Covid-19. By signing below, the undersigned acknowledges that he/she is physically and mentally capable of participating in all aspects of conditioning, training, practice, competition, and tournament play, directly or indirectly related to Dvlp; sport or activity indicated below. Furthermore the undersigned acknowledges that he/she is knowledgeable about the proper use of related equipment. The undersigned also assumes responsibility for ensuring that such equipment meets minimum safety standards. In the framework of Dvlp activities, photographs and/or video film will be taken for the purpose of social media advertising and promotion of Dvlp. These images may be edited, altered, copied, reproduced and used for publicity, including printed publication, videos, website, and all other social media outlets. Any photos or videos will only be used for promoting Dvlp. By signing this document you give Dvlp and all affiliates permission to use photographs and video film for a lawful purpose, where you and athlete appear, without payment, right to royalties or other compensation arising or related to the use of the photo or video. Lastly, the undersigned understands that there are standards associated with this activity which can be made available to him/her initiative from the Coach and or Sports Trainer. In signing these agreements the participants acknowledge that the above terms have been read and understood, and agree to be bound to them.

I ACCEPT

DIGITAL SIGNATURE

Digital Signature Providing your full name indicates that you agree to assume full and complete responsibility for any and all medical bills arising from a player's participation. In the event of any emergency. Parent/Guardian Full Name *

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