Thank you for registering to attend USF Volleyball Camp

  1. Print this page (Parental Release Form)
  2. Complete parental signature and date
  3. Fax or mail form Parental Release Form
  4. Pay full amount or $50 non-refundable deposit
  • Payment methods: check, money order, online credit card
  • Balance is due 2 weeks prior to start of camp
  • Check email & website one week prior to camp for updates
  • Camp is located at the Corral Gym, Sun Dome Entry #1
  • Camp check-in begins at 8:30am for 9:00am camps

 

Parental Release & Hold Harmless
I, the parent/legal guardian of:
understand there are risks involved with my son/daughter's participation with the USF Volleyball Inc. Therefore, I consent for my son/daughter to receive any emergency treatment deemed necessary by the Sports Medicine Staff at the camp/clinic and agree that the Sports Medicine Staff may determine my son/daughter's participation at any time and for any reason. In addition, I verify that my daughter is covered by a health insurance policy. Furthermore, I will be solely responsible for any and all costs of medical attention and treatment under my insurance policy. It is my understanding that photographs will be taken during participation with USF Volleyball Inc. I hereby give permission for the use of aforementioned photographs in future USF Volleyball media. I waive and release the USF Volleyball Inc., the University of South Florida, the Board of Trustees (or any other entity designated by the Florida law to manage operate, and/or oversee the University of South Florida or the Board of Trustees), and their heirs, assigned or successors in interest of any and each of them from any and all liability which may result or arise from either my son/daughter's athlteics particiaption or any medical treatment my son/daughter may receive. If any portion of this release is held to be illegal, unenforceable, or in conflict of any laws of the State of Florida by any Court of competent jurisdiction, the remaining portions of this release shall be affected.
PLEASE REVIEW, CORRECT INFO (if necessary), SIGN, & RETURN
Camper: Email Camper:
Camp: Email Parent:
Position: Emergency Contact:
T-shirt: Emergency Phone:
Grade: Insurance Company:
School: Insurance Primary Holder:
Address: Zip: Insurance Policy: __________________________
Medical notes/allergies: Insurance Group: __________________________
____________________________________ _________________
Parent/Guardian Signature Date
PLEASE NOTE : Registration is not guaranteed until a payment is made
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