Little Lady Diggers Youth Volleyball Organization - (Fairfield, TX)

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Coach Registration

* First Name:

* Middle Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

* Last four of SSN:

* Driver License Number:

* DL State:

* Ethnicity:

* Gender:

* Shirt Size:

* Town Coaching:

* Age Group/Groups:

Cell Phone:

RELEASE OF LIABILITY/ACKNOWLEDGEMENT 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.

* Signature:

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

* Signature:

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

* Signature:

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

* Signature:

RELEASE FOR MEDIA USE
I give unrestricted permission for my 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 my last name will not be used in conjunction with any images, videos or postings.

Please DO NOT post or print any of my photos

* Signature:

I hereby agree that the above information provided is true. *

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