Release and Hold Harmless Agreement

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Release and Hold Harmless Agreement WHEREAS, I am about to participate in an athletic event on my own initiative and upon my own assumption of risk, in an activity sponsored by the Department of Athletics at Missouri Baptist University. NOW, THEREFORE, I do hereby waive and release any and all costs, damage, future claims, rights, and courses of action occuring in my favor as a result of personal injuries or property loss during travel to and from and while participating in said activity against Missouri Baptist University, and/or any members, officers, and/or authorized agents of the above described; hereby covenant and agree with them that no suit or action of law shall be instituted for the above reasons by me or others on my behalf or in my right. Having read and fully understood the above, I certify that all information provided above is true and correct, and freely sign this Release and Hold Harmless Agreement. Signature __________________________(Parent/Guardian if under 18 years of age) Date _____________________________ National Champions - 2015 2017 Volleyball Camps Hosted on the campus of: Missouri Baptist University Missouri Baptist University One College Park Drive Women’s Volleyball St. Louis, MO 63141 2nd Place in the Nation - 2015

Coaches Camp Dates and Times Registration Form John Yehling John Yehling is the Head Men’s Volleyball Coach at Missouri Baptist University. He has coached MBU to several conference titles, regional titles, and national tournament appearances. In 2015 he led his team to MBU’s first National Championship title in program history. Coach Yehling runs camps each summer for No Limits Volleyball Camps and at local high schools across the bi-state area. Please circle the camps you wish to attend. May 17th-18th Elite Skills Clinic 6-8:30PM $80 July 10th-12th Boys High School Camps 6-8:30PM $100 July 17th-19th Girls High School Camps 6-8:30PM $100 July 24th-July 27th No Limits Grade School Camps 6-8:00PM (3rd-8th) $80 Location: The Spartan Volleyball Camps will be held at Missouri Baptist University in the Carl & Deloris Petty Sports and Recreation Complex. T-Shirt: Each athlete will receive a MBU Volleyball t-shirt for their participation. Payment: Please make checks out to John Yehling and include with your registration and waiver forms. Please contact Chris Nichols at (636)485-6084 or at NichoC@mobap.edu with any questions. PLAYER INFORMATION Name __________________________ Age _________________________ Address ________________________ Phone _________________________ High School _____________________ Club ___________________________ E-Mail _________________________ T-Shirt Size S M L XL INSURANCE INFORMATION Insurance Carrier _________________ Account # _______________________ Doctor’s Name ___________________ Emergency Contact _______________ Phone Number __________________ Allergies ________________________ Medication _____________________ PLEASE INCLUDE THIS REGISTRATION FORM & SIGNED WAIVER WITH CHECK TO: Missouri Baptist University Attn: Chris Nichols One College Park Drive Saint Louis, MO 63141 Chris Nichols Chris is the Head Coach for the Women’s Team at Missouri Baptist University. Chris has been at Missouri Baptist since 2005 as a coach with Men’s, Women’s, and Beach Volleyball. He has coached high school boys and girls volleyball at Francis Howell and has coached club volleyball for Team Saint Louis/High Performance. He is currently the girls recruiting director and 17 Royal Coach for High Performance. Other coaches for the camps include current MBU Volleyball Assistant Coaches: Lauryn Hyman, Brooke Aiazzi, and Jack Gamache.