Scrimmage Waiver & Health Check
All visitors, not registered with one of our programs and/or club volleyball must completed the Waiver below before coming to the gym.
All visitors must complete the Test Alerts COVID Form in addition to our Waiver.
Go to testalerts.com
Enter Survey Code: 36F4D1
Xtreme Volleyball Academy Liability Waiver
I acknowledge that volleyball or any sporting event is an extreme test of a person’s physical and mental limits and that my participation in a volleyball event (practices, scrimmages, tournaments, private lessons, etc.) can cause potential death, serious injury, or property damage. With full understanding of such risks, I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the named persons or entities listed below or others, and assume full responsibility for my participation. I hereby take the following action for executors, my administrators, heirs, next of kin, successors, assigns and myself:
A. I waive, release, and discharge from any and all claims/ liabilities for death or personal injury or damages of any kind which arise out of or relate to my traveling to/from or my participation in any volleyball event (defined above),
B. I agree not to sue any of the named persons or entities listed below for any of the claims or liabilities that I have waived, released, or discharged herein: and I indemnify and hold harmless the named persons or entities mentioned below from any claims made or liabilities assessed against them as a result of my actions. Named Persons or Entities: XTREME VOLLEYBALL ACADEMY, and their executive director, tournament directors, sponsors, and the owners, officers, directors, employees, sub-contractors, representatives, and agents of any of the above.
C. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. It is believed that an individual can be in infected with COVID-19 without their knowledge and be asymptomatic. Xtreme Volleyball Academy has put in place preventative measures to reduce the spread of COVID-19. However, XVA cannot guarantee that I or anyone else will not become infected with COVID-19, including my spouse, guests, unborn child, or relatives. Participation in a XVA's program(s) (beach and/or indoor), related event, or activity, could increase the risk of contracting COVID-19. By signing this agreement, I ACKOWLEDGE the contagious nature of COVID-19 and VOLUNTARILY ASSUME THE RISK that I may be exposed to or infected by COVID-19 by participating in a XVA's program(s), related event, or activity, and that such exposure or infection may result in personal injury, illness, permanent disability, and death to myself, my spouse, guests, unborn child, or relatives. I understand that the risk of becoming exposed to or infected by COVID-19 at an XVA's program(s) (beach and/or indoor), related event, or activity may result from the actions, omissions, or negligence of myself or others, including, but not limited to, XVA's employees, volunteers, and program participants. I UNDERSTAND AND VOLUNTARILY ACCEPT AND ASSUME ALL the foregoing risks related to COVID-19 and accept sole responsibility for any injury or illness that may occur. Further, I UNDERSTAND AND AGREE that this release includes any Claims based on the actions, omissions, or negligence of XVA, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any XVA’s program(s), related event, or activity.
D. Photo Release: By signing this document I also authorize XVA to use my/and or my child’s photo and/or video for promotional purposes in all printed and/or electronic media. I understand and agree that photos/videos may be duplicated, distributed with or without charge, and/or altered in any form or manner without future/further compensation or liability, in perpetuity.