www.volleyballalberta.ca
Informed Consent and Assumption of Risk Agreement
(To be executed by Individuals under the age of Majority)
WARNING! By signing this document you will assume certain risks and responsibilities. Please read carefully
Individual’s Name: _____________________________ Parent/Guardian Name: ________________________
(for individual’s 17 and under)
1. This is a binding legal agreement; therefore clarify any questions or concerns before signing. As an Individual
member in the sport of volleyball and/or the events, programs, competitions, travel, and activities organized,
operated or conducted and/or sanctioned by Volleyball Alberta (collectively the “Activities”), the undersigned
acknowledges and agrees to the following terms.
Disclaimer
2. Volleyball Alberta, member clubs, and all the respective, directors, officers, committee members, members,
employees, coaches, volunteers, referees, participants, agents, sponsors, and representatives, and owners/operators
of the event facilities (collectively the “Organization“) are not responsible for any injury, property damage, death,
expense, loss of income, damage or loss of any kind suffered by the Individual during, or as a result of, the Activities.
We have read and agree to be bound by paragraphs 1 and 2
Description of Risks
3. The Parties understand and acknowledge that:
a) The Activities have foreseeable and unforeseeable inherent risks, hazards and dangers that no amount of care,
caution or expertise can eliminate, including without limitation, the potential for serious bodily injury, permanent
disability, paralysis and loss of life; and
b) The Organization has a difficult task to ensure safety but it is not infallible. The Organization may be unaware of
the Individual’s fitness or abilities, may give incomplete warnings or instructions, and the equipment being used
might malfunction.
4. In consideration of the Individual’s involvement in the Activities, the Parties hereby acknowledge that they are
aware of the risks, dangers and hazards and may be exposed to such risks, dangers and hazards. The risks, dangers
and hazards include, but are not limited to:
a) The sport of volleyball;
b) Executing strenuous and demanding physical techniques;
c) The failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment;
d) Physical contact with other Individuals, participants, spectators, equipment and hazards;
e) Contact with, colliding with, or being struck by the volleyball, net, poles, benches, equipment, or other
Individuals, participants, or spectators
f) Spinal cord injuries which may render the Individual permanently paralyzed;
g) Serious injury to virtually all bones, joints, ligaments, muscles, tendons and other aspects of the Individual’s body
or to the Individual’s general health and well-being;
h) Abrasions, sprains, strains, fractures, or dislocations;
i) Concussion or other head injuries, including but not limited to, closed head injury or blunt head trauma;
j) Failure to act safely or within the Individual’s own ability or within designated areas;
k) Negligence of other persons, including other Individuals, spectators, participants, or employees; and
l) Travel to and from the event which is an integral part of the Organization’s Activities.
We have read and agree to be bound by paragraphs 3 and 4
