Tampa Volleyball Camp Registration Form

Camper Information

First Name
Last Name
Age
Grade Entering Fall of 2023
Alternate Email (Optional)
Street Address
City
State
Zip Code

Emergency Contact

Mother's Cell Phone or 1st contact
Mother's Name or 1st contact
Father's Cell Phone or 2nd contact
Father's Name or 2nd Contact
Camper's Cell Phone - will only be used for emergencies

School Information

School Name
Coach's Name
Coach's Email
Coach's Phone

Playing Information

Playing Experience
Position
Height

Additional Experience

Club Name
Team Name / Level
Number of years playing club
T-Shirt Size (Adult Sizes Only)
Roommate choices - Team Camps ONLY

Please Choose Camp(s) Attending Below:

Please select Camp(s) attending

Refund Policy

For Individual Camps (Skills, Specialty, and Combo): Prior to May 1st: Full Refund Less $100 (Administrative Fee). May 2nd - May 31st: Refund Less $150 Deposit. On or After June 1st: No Refunds. Discounts can not be given due to NCAA regulations. For Team Camps (Team camps 1 & 2): Prior to May 14th: Full Refund Less $100 (Administrative Fee). May 15th - June 30th: Refund Less $150 Deposit. On or After July 1st: No Refunds
I have read and understand the refund policy
By choosing "I agree" in this box I understand that I am not registered until the Camp Office has received my deposit.
Health Insurance Carrier
Name of Family Physician
Policy Number
Physician Phone

Please READ BOTH waivers below:

RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT
(ADULT ON BEHALF OF MINOR)
The University of Tampa

NOTICE TO THE MINOR CHILD’S NATURAL GUARDIAN READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF THE UNIVERSITY OF TAMPA USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM, YOU ARE GIVING UP YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER FROM THE UNIVERSITY OF TAMPA IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND THE UNIVERSITY OF TAMPA HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.

I, (Parent/Guardian signing below) for myself, my heirs and personal representatives, hereby assume all liabilities, risks, injuries and hazards to my child/children, (Child registered above), incidental to, or as a result of, participation in TAMPA VOLLEYBALL CAMP (list activities in which minor is to participate), including transportation TO AND FROM the said activity. I freely acknowledge the fact that this/these program(s) may have, and/or do involve, physical contact or other conditions or factual circumstances where physical or other injuries, including but not limited to concussion, may occur, and that transportation to and from said event could involve the potential for an automobile, or other, accident. As legal guardian and/or natural parent of the above referenced child/children, I do hereby waive, release and agree to indemnify and hold harmless the University of Tampa, their officers, agents, employees, the organizers, sponsors, activity supervisors, co-sponsoring organizations and participants for any claim, demand, liability, costs, suits, charges or compensation for loss or injury of any kind arising out of a loss or an injury, including losses or injuries arising from the negligence of the University of Tampa, their agents or employees and sponsors or activity supervisors, arising from my child/children's participation in the said activity. I, as legal guardian and/or natural parent of the above referenced child/children, assume all risk of injury, liability, and loss arising from my child/children’s participation or presence at said activity. I acknowledge that the University of Tampa, will not assume any costs relating to any injury while my child/children are involved in this activity, or from transportation to or from this activity.
This Waiver, Release and Hold Harmless/Indemnification Agreement is in consideration of the University of Tampa permitting my child/children’s participation in the activity or program at issue and in further consideration of the University of Tampa not requiring self-funded liability insurance coverage on my part as a condition precedent to my child/children’s participation in the activity. I, as legal guardian and/or natural parent of the aforesaid child/children, freely and voluntarily assume all risk of loss or injury arising from my child/children’s participation in the activity whether due to my negligence, my child/children's negligence, or the negligence or intentional acts of others. I acknowledge that, absent this Release and indemnification, the University of Tampa, or other sponsors of the activity would not have offered me, or my child/children, the access to the activity because of unacceptable exposure to civil liability claims and/or lawsuits, or the expense of providing a program that is risk-free. By signing this waiver, I agree to indemnify any and all employees of the University of Tampa for any and all damages which result from any and all acts or omissions, including negligence, in whole or in part, on the part of any University of Tampa employee.
I have read and understood this document and sign it freely and knowingly, intending that it shall be fully operative and effective in all respects and that it waives legal rights to which I, or my child/children, might otherwise be entitled if my child/children are hurt or suffer loss during his/her/their participation in that activity.

YOU MUST CAREFULLY READ THIS DOCUMENT BEFORE SIGNING IT.
YOU ARE WAIVING OR RELEASING VALUABLE LEGAL RIGHTS.
YOU ARE ADVISED TO SEEK THE ADVICE OF AN ATTORNEY IF YOU
DO NOT FULLY UNDERSTAND THIS DOCUMENT.

CAT Volleyball Waiver

RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT
(ADULT ON BEHALF OF MINOR)
CAT Volleyball Inc.

I, (Parent/Guardian signing below) for myself, my heirs and personal representatives, hereby assume all liabilities, risks, injuries and hazards to my child/children, (Child registered above), incidental to, or as a result of, participation in TAMPA VOLLEYBALL CAMP (list activities in which minor is to participate), including transportation TO AND FROM the said activity. I freely acknowledge the fact that this/these program(s) may have, and/or do involve, physical contact or other conditions or factual circumstances where physical or other injuries, including but not limited to concussion, may occur, and that transportation to and from said event could involve the potential for an automobile, or other, accident. As legal guardian and/or natural parent of the above referenced child/children, I do hereby waive, release and agree to indemnify and hold harmless the CAT Volleyball Inc., their officers, agents, employees, the organizers, sponsors, activity supervisors, co-sponsoring organizations and participants for any claim, demand, liability, costs, suits, charges or compensation for loss or injury of any kind arising out of a loss or an injury, including losses or injuries arising from the negligence of the University of Tampa, their agents or employees and sponsors or activity supervisors, arising from my child/children's participation in the said activity. I, as legal guardian and/or natural parent of the above referenced child/children, assume all risk of injury, liability, and loss arising from my child/children’s participation or presence at said activity. I acknowledge that CAT Volleyball Inc., will not assume any costs relating to any injury while my child/children are involved in this activity, or from transportation to or from this activity.
This Waiver, Release and Hold Harmless/Indemnification Agreement is in consideration of CAT Volleyball Inc. permitting my child/children’s participation in the activity or program at issue and in further consideration of the CAT Volleyball Inc. not requiring self-funded liability insurance coverage on my part as a condition precedent to my child/children’s participation in the activity. I, as legal guardian and/or natural parent of the aforesaid child/children, freely and voluntarily assume all risk of loss or injury arising from my child/children’s participation in the activity whether due to my negligence, my child/children's negligence, or the negligence or intentional acts of others. I acknowledge that, absent this Release and indemnification, the CAT Volleyball Inc., or other sponsors of the activity would not have offered me, or my child/children, the access to the activity because of unacceptable exposure to civil liability claims and/or lawsuits, or the expense of providing a program that is risk-free. By signing this waiver, I agree to indemnify any and all employees of the CAT Volleyball Inc. for any and all damages which result from any and all acts or omissions, including negligence, in whole or in part, on the part of any CAT Volleyball Inc. employee.
I have read and understood this document and sign it freely and knowingly, intending that it shall be fully operative and effective in all respects and that it waives legal rights to which I, or my child/children, might otherwise be entitled if my child/children are hurt or suffer loss during his/her/their participation in that activity.

YOU MUST CAREFULLY READ THIS DOCUMENT BEFORE SIGNING IT.
YOU ARE WAIVING OR RELEASING VALUABLE LEGAL RIGHTS.
YOU ARE ADVISED TO SEEK THE ADVICE OF AN ATTORNEY IF YOU
DO NOT FULLY UNDERSTAND THIS DOCUMENT.

Parent/Guardian Signature
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