Athlete intake, waiver & pledge

One form covers athlete information, the injury waiver and liability release, the athlete pledge, and payment. One click registers your athlete and pays for the selected program.

Athlete

First name *

Last name *

Date of birth *

Grade level

School

Years playing volleyball

Program of interest *

Experience level

What does your athlete want to get out of this season?

Parent / Guardian

Full name *

Email *

Phone *

Emergency contact name *

Emergency contact phone *

How did you hear about us?

Medical notes, allergies, injuries, or anything our staff and team physician should know

Waiver, release & pledge

Assumption of risk, injury waiver, and liability release

I understand that beach volleyball and athletic performance training involve inherent risks, including but not limited to sprains, strains, fractures, heat illness, sun exposure, contact with equipment or other participants, and other injury. I confirm my athlete is physically able to participate.

In consideration of participation, I release and hold harmless Rivercity Beach Volleyball Club, its founders, coaches, staff, volunteers, and facility partners from claims arising out of participation, except for gross negligence or willful misconduct.

I authorize Rivercity Beach staff to seek emergency medical treatment for my athlete if I cannot be reached, and I accept responsibility for related medical costs. I agree to notify the club of any change in my athlete’s medical condition.

Athlete pledge

Compete With Everything I Have

I will bring effort, focus, and a coachable attitude to every practice, workout, and match.

Respect Everyone

I will treat my teammates, opponents, coaches, officials, parents, and facility staff with respect both on and off the court.

Lead With Character

True leadership is humility, honesty, discipline, courage, and serving others. I will do what is right even when no one is watching.

Keep Faith and Family First

Rivercity Beach welcomes athletes from all backgrounds and beliefs, and we believe strong families and personal values build exceptional people.

Serve My Community

I will use my time and ability to give back, mentor younger players, and represent this club with character wherever I go.

I have read and accept the assumption of risk, injury waiver, and liability release above. *Our family has read the Rivercity Beach athlete pledge and parent expectations, and we commit to effort, respect, accountability, and service. *I give permission for club photos and video of my athlete to be used in club materials.

Type parent/guardian full name as electronic signature *

Signed on submission

Payment

Choose a program above and the secure payment form will appear here.