2017 Johnson & Wales University Volleyball Summer Camp
Boys and Girls - Ages 12 to 18

July 24th - 28th, 2017...11am to 4pm

Address: The Wildcat Center - 305 Shipyard St. - Providence, RI  02903

Contact: Head Men's Volleyball Coach Scott Reslow at sreslow@jwu.edu 
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Summer Camp Dates *
Required
Tuition... *
Checks make out to Johnson & Wales Men's Volleyball / Credit Card Follow the Link Below
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First *
Last *
Address *
City *
State *
Zipcode *
Cell
Student athletes
Email
Student athletes
High School
Volleyball Club Team
Emergency Contact Name & Number *
Any Allergies *
Required
IF SO LIST ALLERGIES
List any conditions the trainer should be aware of: *
Insurance Company *
Insurance Number *
Media Release By Initialing below, I hereby grant Johnson & Wales University permission to capture my child’s image or voice in any media, or campus settings and the irrevocable right to use my child’s name, voice and image in any manner or media for university purposes, including but not limited to publicity and marketing. I hereby unconditionally release Johnson & Wales University and its trustees, employees and representatives from any and all liabilities, claims and demands whatsoever, in law or equity, whether known or unknown, which I, my child, or my child’s heirs, assigns and/or representatives ever had, now have, or in the future may have relating to the uses described herein. *
Initials
ASSUMPTION OF RISK  I wish to permit my child to participate in the Johnson & Wales Volleyball Clinic Series, which will take place on July 24th through July 28th, 2017 at Johnson & Wales University (“JWU”).  I certify that my child’s participation in the Johnson & Wales Volleyball Summer Camp is wholly voluntary, and I agree that my child will follow all rules and instructions, including, but not limited to all rules and instructions from JWU personnel during the Johnson & Wales Volleyball Clinic Series. I understand the nature and scope of the Johnson & Wales Volleyball Clinic Series and the activities that will be undertaken. I understand that, despite appropriate safety precautions, JWU cannot guarantee that no injury will occur in the course of my child’s participation in the Johnson & Wales Volleyball Summer Camp. I further acknowledge that the Johnson & Wales Volleyball Summer Camp involves physical activity that, like other physical activities, has the risk of serious injury, including the potential for permanent disability and death. I understand that by its very nature, volleyball is dangerous and involves physical exertion, running, quick movements, turns, jumping, being hit or struck by volleyballs, etc. I understand and acknowledge that my child’s own negligence and the negligence of others could result in significant injury including the potential for permanent disability and death. I acknowledge that participation in the Johnson & Wales Volleyball Summer Camp is voluntary and understand that my child must be covered by health insurance at all times while attending the Johnson & Wales Volleyball Summer Camp. In addition, I agree to give JWU and its representatives permission to provide medical response and/or treatment as needed for any injury or illness that may occur while my child is involved in the Johnson & Wales Summer Camp and agree to release JWU and its officers, trustees, employees, and agents from all liability arising out of such response or treatment. I further understand that in case of medical emergency, I will be fully responsible for all expenses. Knowing the risks involved, I agree, for myself and on behalf of my child and my child’s heirs, personal representative(s), and assigns, to the maximum extent permitted by law, to assume all the risks and responsibilities surrounding my child’s participation in the Johnson & Wales Volleyball Summer Camp and to hold harmless, indemnify, release, and forever discharge Johnson & Wales University and its officers, trustees, employees, and agents, from and against any present or future claim, demand, action, loss, or liability for injury to person (including death) or property which my child may suffer or for which my child may be liable to any other person or entity, arising in connection with my child’s participation in the Johnson & Wales Volleyball Summer Camp. I have read this Assumption of Risk carefully and understand its contents. *
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