Women's League Volleyball (2022)

Please read carefully

Release:
I, the undersigned, agree to hold Churchill County, its employees, instructors and assistants, harmless and free of all liabilities or suits, claims, or demands of every kind or character arising out of and in connection with the program provided by Churchill County. I acknowledge that this program includes physical activities that may carry with it the potential of serious injury and/or minor injury. The risks include, but are not limited to, those caused by physical contact between participants, facilities and environments. I further certify that I have no ailment or organic defect that would make participation in this activity dangerous to my health.

In case of an emergency, accident or serious illness, I request that the emergency contact listed below be contacted, if possible. If they cannot be reached within a very few minutes, I hereby authorize Churchill County and its representatives to make whatever arrangements deemed necessary for medical assistance. I agree to pay for such medical care.

Photo Release. I understand that due to the nature of this program I/my child may be included in photos or video that will be used for media information or advertising of future programs. I understand by signing this hold harmless agreement I authorize the use of any photos or video taken during this program.