Waiver and Release of Liability

By my signature below, I give my daughter permission to participate in the Starlings Los Angeles Volleyball Club tryouts. I acknowledge there is an inherent risk of serious injury and potential death associated with her participation in this tryout. With full understanding of the potential risks, I fully consent for my daughter to participate.

I, the parent or legal guardian of the participant of minor age herein, represent that I have the legal capacity and authority to act for and on behalf of said minor. I hereby bind myself; the minor and all other assigns to the terms of this Waiver and Release. I agree to indemnify and hold harmless The Los Angeles Unified District, any other practice facility public or private, Starlings Los Angeles Volleyball Club, its Director’s, and Staff for any claims and liabilities arising out of any incident occurring during participation in this tryout.

I certify that my daughter has full medical insurance and that she is physically fit to engage in the activities described above.

Participant’s Name (please print) ___________________________________________________

Parent Name (please print) _______________________________________________________

Required Parent Signature ________________________________

Date _________________

Player information

Mail address ________________________________ City __________________________ ZIP ___________

Home phone ________________________ Parent Cell_______________________________

Parent email ________________________________________________________________

Player email ________________________________________________________________

Player cell number ___________________

Player date of birth ________________ Grade ____

School attending _____________________

Positions played ___________________________________________________ Height ______