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Little Lady Diggers Registration Form

PLAYER INFORMATION


PARENT/GUARDIAN #1

PARENT/GUARDIAN #2


MEDICAL/EMERGENCY CONTACT INFORMATION
MEDICAL RELEASE AND CONSENT
I hereby voluntarily permit me or my child to participate in the LLD Youth Volleyball Organization. I UNDERSTAND AND FULLY ACCEPT THAT THERE ARE RISKS INVOLVED IN SPORTS, AND THAT ACCIDENTS AND INJURIES ARE COMMON AND ARE ORDINARY OCCURRENCS OF SPORTS. I HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY OR DEATH, AND VERIFY THIS STATEMENT BY ELECTRONICALLY SIGNING BELOW.

I hereby release and hold harmless LLD members, coaches, officials, and volunteers from all liability, and from all actions or claims that I or my child now or hereafter have for damage or injury to me or my child, or to any person or property, resulting from negligence or other any volunteers or members in connection with me or my child's participation. I further agree to indemnify and to hold LLD free and harmless from any loss, liability, damage, cost or expense which they may incur as a result if any injury and/or property damage that I or my child may cause or sustain while participating in this activity. I also hereby give permission to LLD members and volunteers to disclose the information contained on this form to medical personnel. I agree to pay all medical, hospital, or other expenses which my child or I may incur as a result of treatment. LLD also does not provide any medical benefits to any LLD participate.

I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN ME AND THE LITTLE LADY DIGGERS YOUTH VOLLEYBALL ORGANIZATION AND SIGN IT OF MY OWN FREE WILL ELECTRONICALLY BELOW.

RELEASE OF LIABILITY/ACKNOWLEDGMENT OF RISK
Upon entering events sanctioned by LLD. I/we agree to abide by the rules of LLD for the sport of youth volleyball. I/we understand and appreciate that participation or observation of the sport constitutes a risk to me/us of serious injury. I/we voluntarily and knowingly recognize, accept and assume this risk and release Little Lady Diggers Youth Volleyball Organization, its affiliates, their sponsors, event organizers, volunteers and officials from any liability, therefore.

I/we have read and understand LLD Concussion Policy. (Located in Handouts Section)

I/we have read and agree with LLD Code of Conduct. (Located in Handouts Section)

I/we have read and understand LLD COVID Policy. (Located in Handouts Section)

RELEASE FOR MEDIA USE
I/we give unrestricted permission for my child's image to be used in print, video, and digital media. I agree that LLD may use these images for a variety of purposes without further notifying me. Examples include photos on the website or posted on a volleyball bulletin, brochures, local newspaper or social media. I do understand that the child's last name will not be used in conjunction with any images, videos or postings.

 

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