Get documents about "Summer Youth Volleyball Camp
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Please be at the high school gym between 4:00 and 4:15 on July 18th to register for the camp. Checks can be made out to PSHS Volleyball. Parents/Guardians must fill out a waiver before girls may participate. A Volleyball T-Shirt will be given to all participating girls. This is a fundraiser for the high school volleyball program. We use the money to attend summer team camps. If you have any questions, please contact Coach Connie Sue O’Donnell at 946-1607 Pagosa Springs Youth Volleyball Camp 2011 WAIVER, RELEASE, ASSUMPTION OF RISK, AND INDEMNIFICATION AGREEMENT Participant Name: __________________________________________ In consideration of Archuleta County School District and Pagosa Springs High School granting me permission to participate in the above-referenced event, and with the understanding that such participation is conditioned upon my execution of this waiver and release, for myself, my heirs and assigns, I hereby acknowledge, recognize and assume the risks involved in the event and any risks inherent in any other activities connected with the event in which I may voluntarily participate. I expressly assume the risk of and accept full responsibility for any and all injuries (including death) and accidents which may occur as a result of my participation in the and release from liability Archuleta County School District, Pagosa Springs High School and its employees. THIS IS A RELEASE OF LIABILITY. The SIGNATURE OF A PARENT OR LEGAL GUARDIAN IS REQUIRED. I HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THIS WAIVER, THE RISKS, AND RELEASE THE ABOVE MENTIONED FROM LIABILITY. _______________________________________________________ Signature of Participant Date _______________________________________________________ Signature of Parent Date _______________________________________________________ Number where parent/guardian can be reached _______________________________________________________ Emergency Contact information
