CRUSH CONSENT and COVID FORMS 2021/2022
CONSENT and COVID FORMS 2021/2022 VOLLEYBALL SEASON
I the UNDERSIGN hereby acknowledge that certain RISKS OF INJURY are inherent to participation in sports and recreational activities. These types of injuries may be minor or serious and result from one’s actions, the actions or inaction’s of others, or a combination of both.
I understand that the RULES AND REGULATIONS are designed for the safety of participants and hereby undertake to abide by these rules and regulations. I understand that certain activities require a minimum LEVEL OF FITNESS AND HEALTH (physical, mental and emotional) and that each person has a different capacity for participating in these activities.
I hereby WARRANT being physically fit to participate and understand that CHOICE to participate brings with it the ASSUMPTION OF THOSE RISKS AND RESULTS, which are part of these activities.
I agree that the CR CRUSH Volleyball Club, its volunteer administrators, participants, and the like SHALL NOT BE LIABLE for any injury to my person, or loss or damage to my personal property arising from, or in any way responsible from my participation in these activities during the volleyball season or any activities associated with the CR CRUSH Volleyball Club.
I declare having read and understood the above CONSENT FORM IN ITS ENTIRETY AND HEREBY CONSENT TO PARTICIPATE ACKNOWLEDGING ALL OF THE ABOVE.
I grant to the CR CRUSH Volleyball Club, its representatives and employees the right to take photographs/video of me and my property in connection with the above-identified subject. I authorize CR Crush Volleyball, its assigns and transferees to copyright, use and publish the same in print and/or electronically.
I agree that CR CRUSH Volleyball Club may use such photographs/video of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
Indemnity & Assumption of Risk Waiver
WARNING : READ CAREFULLY. THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS.
BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING YOUR RIGHT
TO SUE. YOU WILL AGREE TO ASSUME RESPONSIBILITY FOR CERTAIN RISKS AND AGREE TO FULLY
INDEMNIFY MOMENTUM VOLLEY SPORT CLUB AND THE B.C. VOLLEYBALL ASSOCIATION AGAINST
LEGAL LIABILITY FOR INJURY, PROPERTY DAMAGE, ILLNESS AND DISEASE (INCLUDING COVID-19).
BY SIGNING THIS DOCUMENT YOU WILL ACKNOWLEDGE AND AGREE THAT TRANSMISSION OF
COMMUNICABLE DISEASE (INCLUDING COVID-19) IS AN INHERENT RISK ASSOCIATED WITH YOUR
CHILD’S PARTICIPATION IN VOLLEYBALL ACTIVITIES.
I, the undersigned Parent/Guardian, understand that this Agreement is a binding legal
agreement. Any clarification or questions or concerns must be raised before signing.
I understand that this Agreement is made for the benefit of the the Club (the “Organization”)
and its directors, officers, agents, representatives, employees, volunteers, members,
partic-ipants, spectators, independent contractors, subcontractors, sponsors, successors and
assigns, les-sors, and other districts, leagues, clubs or associations (collectively, the
I understand that the Organization will not permit my minor child (the “Participant”) to
participate in any volleyball activities organized, offered, or sanctioned by the Organization
(the “Activities”) unless and until this Agreement is signed by the Participant’s
Parent/Guardian. In consideration of permitting the Participant to participate in the
Activities, I acknowledge and agree to the following terms:
● ACKNOWLEDGMENT AND ASSUMPTION OF RISKS: I understand that there are many
risks associated with the minor Participant’s participation in the Activities (the “Risks”).
I UNDERSTAND THAT COVID-19 IS A SIGNIFICANT HEALTH RISK AND CARRIES A HIGH
RISK OF TRANSMIS-SION THROUGH PHYSICAL OR SHARED CONTACT. I acknowledge
that the Risks include, but are not limited to, serious personal injury, death, property
damage, illness and disease (e.g. communicable diseases including COVID-19 and
influenza). I further acknowledge that I am in the best position to assess the impact
that a communicable disease may have on the Participant or on others with whom
the Participant may transmit such disease. I understand that the Organization may
offer online programming, including remote and virtual instruction, coaching,
practice, training or competition, which can carry different Risks than in person
Activities. Examples of the Risks include, but are not limited to personal injury, death,
property damage, or illness resulting from:
❖ HEALTH: food and beverages, overexertion, dehydration, fatigue, traumatic
injury, infec-tions, rashes, and transmission of communicable diseases
(including COVID-19 and influ-enza), bacteria, parasites or other organisms or
❖ CONDUCT: the Participant’s conduct and conduct of other persons, including
any physical altercation between persons.
❖ PREMISES: defective, dangerous or unsafe condition of the facilities; falls;
collisions with objects, walls, equipment or persons; dangerous, unsafe, or
irregular conditions on the field of play or other surfaces; extreme weather
conditions; and travel to and from premises.
❖ EQUIPMENT: mechanical failure of the equipment; negligent design or
manufacture of the equipment; the provision of or the failure by the Releasees
to provide any warnings, direc-tions, instructions or guidance as to the use of
the equipment; failure to use or operate the equipment within the
I FREELY ACCEPT AND FULLY ASSUME RESPONSIBILITY FOR THE RISKS.
The Participant is being registered and participating in the Activities voluntarily and willingly.
Signature of Parent/Guardian: ____________________________________________________________
Waiver of Claims and Release of Liability: I, the undersigned Parent/Guardian, hereby agree
❖ I hereby waive any and all claims that I have or may have in the future against
the Releasees in connection with the Participant’s participation in the
❖ I hereby release and forever discharge the Releasees from any and all liability
for all loss, damage, expense, injury, death, property damage, illness or disease
(e.g. communicable diseases including COVID-19 and influenza) that the
Participant, I, my executors or admin-istrators, or any other third party may
suffer as a result of the Participant’s participation in the Activities due to any
cause whatsoever, whether arising from the NEGLIGENCE of the Releasees,
breach of any statutory or other duty (including but not limited to the
Occupiers Liability Act , R.S.B.C. 1996, c. 303), breach of contract, mistake or
error of judgment of the Releasees, or otherwise.
INDEMNITY: I hereby agree to indemnify and hold harmless the Releasees from any and all
damages, loss or expense (including legal costs) of any kind resulting from any and all
claims, demands, causes of action of any kind whatsoever including those involving
negligence on the part of the Releasees arising out of or connected with the Par-ticipant’s
preparation for or participation in, or both, or travel to or from any of the activities, events
and programs of the Releasees.
● REPRESENTATIONS: I am not relying on any oral, visual or written representations or
state-ments made by the Releasees with respect to the safety of the Activities other
than what is set forth in this Agreement.
● JURISDICTION: I agree that this Agreement and all terms contained within are
governed by the laws of the Province of British Columbia. I hereby irrevocably submit
to the exclusive jurisdiction of the courts of the Province of British Columbia. Any
litigation in any way relating to the Activities or to the matters addressed in this
Agreement must be instituted in the Province of British Columbia.
● SEVERABILITY: If any provision (or part of any provision) in this Agreement is
unenforceable, such provision (or part of such provision) shall be severed and shall be
inoperative, and the remainder of this Agreement shall remain in full force and effect.
I CONFIRM THAT I HAVE HAD SUFFICIENT TIME TO READ THIS AGREEMENT IN ITS ENTIRETY,
INCLUDING ALL OF ITS TERMS, THAT I FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE
GIVEN UP SUBSTANTIAL LEGAL RIGHTS BY SIGNING IT AND HAVE AGREED TO THE TERMS FREELY
AND VOLUNTARILY. I UNDERSTAND THAT THIS AGREEMENT IS BINDING ON ME, MY EXECUTORS AND
___________________________________ Name of Participant (Please Print)
___________________________________ Date of Birth
___________________________________ Name of Parent/Guardian (Please Print)
___________________________________ Signature of Parent/Guardian