Waterloo East Side Sting

A.A.U. Volleyball Club - 7th and 8th grade

A.A.U. Volleyball Club Indemnity form:
Athletes Name ________________________________________
Athletes Address________________________________________
City
______________________ Zipcode ___________
Phone Number _________________________________________
School Attending ________________________________________
Current Grade _________________
Parents Name _________________________________________
Parents Address ______________________ Zipcode ___________
Parents E-mail _________________________________________
Phone Number _________________________________________
PARENTS RELEASE AND INDEMNITY AGREEMENT:
We (or I) hereby request that you accept the application for enrollment for
(Player)______________________________________ in the 2014-2015 East Side Sting
A.A.U. Volleyball Club program.
With consideration of your acceptance of this applicant, we (or I) hereby release the Waterloo
Community Schools and all employees of the East Side Sting Volleyball Club from all claims on
account of any injuries which may be sustained by our (or my) child while practicing for the
2014-2015 A.A.U. Club Season. We (or I)agree to indemnify the Waterloo Community Schools
and the East Side Sting Volleyball Club and its employees for any claim which hereafter be
presented by our (or my) child as a result of any such injuries.
Parents
Signature______________________________________________________ Date___________