As guardian of the participant named in this document, I do for both of participant’s parents, for participant and
participant’s heirs and successors, release DJRS Volleyball Club and any of its agents or representatives (all of the
foregoing collectively “DJRS”)from all claims arising out of or connection with participation in any DJRS insured club
program or event. I provide this release because I am mindful that athletics, physical training, and competition can be a
dangerous undertaking regardless of how careful or prudent any person, organization or facility might be.
As participant, I agree that:
1. The risk of injury from the activities involved in this program is significant, including the potential for permanent
paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk
of serious injury does exist.
2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the
releases, but not gross negligence of the releases, or others, and assume full responsibility for may participation.
3. I willingly comply with the stated and customary terms and conditions for participation. If however I observe
any unusual significant hazard during my presence or participation, I will remove myself from participation and
bring such to the attention of the nearest DJRS staff member immediately.
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release,
indemnify, and hold harmless the Dayton Juniors Volleyball Club, their officers, officials, agents and/or
employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors
of premises used to conduct the event (releases), with respect to any and all injury, disability, death, or loss or
damage to person or property, whether arising from the negligence of the releases or otherwise, to the fullest
extent permitted by law.
I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I
have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.