Renegades Liability Waiver

Renegades Gym Release of Liability

Renegades Liability Waiver                           

Dec 5, 2023 thru Dec 4, 2024

Type of Waiver

FOR Basketball

I hereby assume all risks associated with my participation in Renegades Men/Women’s Basketball during the period Dec 5, 2023 thru Dec 4, 2024 and agree to hold harmless the Renegades organization, their officers, coaches, and participants for any and all claims for injuries and illness such as communicable diseases including COVID-19, arising out of participation in Men/Women’s Basketball at the Renegades Kelly Bolish Gym at 2950 Turnpike Drive, Hatboro,PA.19040 All participants are required to be covered by a personal or family medical plan including hospitalization before they can participate in Men/Women’s basketball . I do certify that I am covered by a medical hospital insurance plan. I have completed and understand the details of this form and attest to its accuracy. I the undersigned, do hereby grant permission to any licensed physician to perform or provide necessary medical care or aid, if I should become injured in connection to the playing of basketball at the Renegades Kelly Bolish Gym.

FOR Volleyball

I hereby assume all risk associated with my participation in Renegades Men/Women’s Volleyball during the period Dec 5, 2023 thru Dec 4, 2024 and agree to hold harmless the Renegades organization, their officers, coaches, and participants for any and all claims for injuries and illness such as communicable diseases including COVID-19, arising out of participation in Men/Women’s Volleyball at the Renegades Kelly Bolish Gym at 2950 Turnpike Drive, Hatboro,PA.19040. All participants are required to be covered by a personal or family medical plan including hospitalization before they can participate in Men/Women’s volleyball. I do certify that I am covered by a medical hospital insurance plan. I have completed and understand the details of this form and attest to its accuracy. I the undersigned, do hereby grant permission to any licensed physician to perform or provide necessary medical care or aid, if I should become injured in connection to the playing of volleyball at the Renegades Kelly Bolish Gym.
Player’s First Name
Player’s Last Name
Name of Person that reserved the court
Name of Person that reserved the court
Reserved First
Reserved Last
Address of Player
Address of Player
Street Address
Street Address Line 2
City
State/Province
Zip/Postal