Whispering Pines Volleyball Waiver

Created by Mark Dvorak
May 3, 2017

Whispering Pines Co-Ed Wednesday Night Volleyball Sign-Up Form
Team Name:____________________________Team Captain:__________________________
Phone:_____________________e-mail:____________________________________________
Player names: Phone: Email Address:







This agreement releases Long Lake Community Bank, Dvorak Enterprises and Whispering Pines LLC from all liability relating to injuries that may occur during the Wednesday night Volleyball League which is to be held at Whispering Pines Golf Course located at 8713 70th St NW, Annandale MN 55302. By signing this agreement, I agree to hold Long Lake State Bank, Dvorak Enterprises and Whispering Pines LLC entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence.
I also acknowledge the risks involved in said Sand Volleyball League. These include but are not limited to personal injury from flying golf balls, golf balls in said sand court and any personal injury related to physical activity. I swear that I am participating voluntarily, and that all risks have been made clear to me. Additionally, I do not have any conditions that will increase my likelihood of experiencing injuries while engaging in this activity.
By signing below I forfeit all right to bring a suit against Long Lake State Bank, Dvorak Enterprises and Whispering Pines LLC for any reason. In return, I will receive access to said outdoor activity. I will also make every effort to obey safety precautions as listed in writing and as explained to me verbally. I will ask for clarification when needed.
League starts May 18th and will end August 24th. Schedule will be e-mailed to the team captain by Monday, May 16th. The Fee for this league is $120 per team with a Sign-up deadline of May 15th.
I, _____________________(Print Name), fully understand and agree to the above terms.
Signature:
________________________________________________________________________