Crank It Volleyball

Email address *

Parent/Guardian Name (First & Last)

*

Parent/Guardian Phone Number

*

Player Name (First & Last)

*

Player's Date of Birth

*

Player's Address, City, Zip Code

*

Team *

Parent/Guardian & Player Commitment Agreement * Click the Parent/Player Commitment Agreement to read it in its entirety. After reviewing, check the box below acknowledging your review and agreement.

Parent/Guardian and Player Photo/Video Consent

*

I give Crank It Volleyball Club permission to take photographs and/or videos of my child/me. I grant Crank It Volleyball Club full rights to use images resulting from the photograph/video filming, and any reproductions or adaptations of the images for publicity or other purposes to help achieve the group’s aims. This might include but is not limited to, the right to use them in their printed and online publicity, social media, and press releases.

I do NOT permit Crank It Volleyball Club to take photographs and/or videos of my child/me.

Parent/Guardian & Athlete Concussion Information Review *

Click the Parent & Athlete Concussion Information Sheet to read it in its entirety. After reviewing, check the box below acknowledging your review.

Medical Information & Liability Waiver Release

Is the parent/guardian listed at the beginning of this form the player's emergency contact?

*

If the above answer was 'No' please list your emergency contact's name, phone number and relationship. If it was 'Yes' type N/A.

*

Existing Medical Coverage Name & Plan #

*

List All Known Allergies or Type None

*

List All Current Medications or Type None

*

Medical Liability Waiver Release

* Click the Medical Liability Waiver Release to read it in its entirety. After reviewing, check the box below acknowledging your review and agreement.

E-Signature * Your electronic signature on this form is legally binding and applies to all the information and linked documents included in the form.

REQUIRED Document Reviews, Waivers, and Consents Form

REQUIRED Document Reviews, Waivers, and Consents Form

Medical Information & Liability Waiver Release

REQUIRED Document Reviews, Waivers, and Consents Form