2023 Hutchinson Volleyball Camp Registration Form

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RELEASE: I understand that injuries are a natural part of many recreation activities. In consideration of the permission granted, by Hutchinson Community College, to participate in above activity, I release Hutchinson Community College, its agents and employees from all actions, causes of action, damages, claims, or demands which I, my heirs, executors, administrators, or assigns may have against it and other above-described parties, for all personal injuries known or unknown which has or may incur by participating in the above-described activity.

MODEL RELEASE: The undersigned and participant authorize Hutchinson Community College to use at its discretion any photograph(s) and/or video(s) taken of the participant while participating in any activity and waive any and all claims that the participant or the undersigned or their heirs, executors, administrators, or assigns may have or claim to have resulting from such photograph(s) and/or video(s) or reproductions thereof.

MEDICAL RELEASE: In case of a medical emergency and I cannot be contacted, I give my permission for a Hutchinson Community College representative to act in my place and to make medical decisions concerning emergency treatment for the participant.

CONDUCT: The undersigned and participant agree to abide by all policies and guidelines set forth by Hutchinson Community College regarding this program and violations could result in being expelled from activity with no refund. I, the undersigned, have read this release and understand all its terms. I execute it voluntarily and with full knowledge of its significance. List any medical/physical conditions or food allergies, if any:

PLEASE MAKE CHECKS PAYABLE TO :

HCC Volleyball

 MAIL TO:

Delice Downing

HCC Volleyball

1300 North Plum

Hutchinson, KS 67501

* required field