OFF Xceleration & NorCal Courts Waiver Forms

Effective June 7, all players and parents must review and sign this Xceleration Waiver Form in order to participate in any Xceleration programs.

* Indicates required field

Player Name *

First

Last

Player Cell Number *

Player Email *

Name of Parent/Guardian 1 *

First

Last

Parent/Guardian 2 Email *

Parent Cell Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Name of Parent/Guardian 2 *

First

Last

Parent/Guardian 2 Email *

Please READ Xceleration Guidelines that must be followed at all camps.

NORCAL COURTS RELEASE: PLEASE READ AND ACKNOWLEDGE COMPLETION OF WAIVER FORM. CLICK WAIVER OF LIABILITY

I acknowledge that I have read and signed the NorCal Courts Release and Waiver of Liability. *

Yes

XCELERATION RELEASE: PLEASE READ AND SIGN BELOW.
WAIVER OF LIABILITY
Please read this provision carefully as it modifies and limits you and your children(s) rights.
I, the parent/guardian_________________________ of child/children_________________________ signing below, wish for myself and my child/children to utilize the services, facilities, property and equipment offered by Xceleration Volleyball Club.
For and in consideration of my child's use of the NorCal Courts, its facilities and equipment located at or near 360 Ferry Street, Martinez, California commonly referred to as the Xceleration Sports Facility and other valuable considerations, the undersigned expressly agree to forever discharge, hold harmless, waive and release from liability Xceleration Volleyball Club, its members, managers, coaches, officers, agents, employees, insurers and Owners from any and all claims, demands, injuries, damages, actions, liabilities, causes of action and lawsuits for all acts of active and passive negligence to the fullest extent possible by law resulting from any accident or injury sustained by the child(ren) resulting from or connected with use of the gym, property, facilities or while engaging in an event, practice or camp at the gym, including coming to or going from said event. This waiver and release of liability applies to and includes, but is not limited to, physical injury, mental injury, emotional distress, death, and transmission of communicable diseases such as COVID-19 commonly referred to as the Coronavirus, property damage, economic and non-economic damages. I further agree to defend, indemnify and assume all expenses, costs, attorney's fees and losses arising from said injury or accident of said child(ren) and to hold Xceleration Volleyball Club, its members, managers, coaches, officers, agents, employees, insurers and Owners harmless and free of any and all liability.

By signing below both parents agree to the above.

Parent 1 E-Signature *

Parent 2 E- Signature *

Date (mm/dd/yyyy) *

Note:
After completing the form, hit the SUBMIT button below. You will immediately receive a pop-up notice that your information has been submitted. No additional confirmation messages will be sent to your email.

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xceleration waiver FORM