ELEVATE MINISTRIES
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Team Adriel Registration
Please fill out the registration form and submit. Then, select the payment button to complete your registration.
If you submit your registration without making a payment, your position on the team will not be saved.
*
Indicates required field
Name
*
First
Last
Gender
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Male
Female
Are you going to be the team captain?
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Yes
No
Email
*
How did you hear about Agape Volleyball?
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Church
Social Media
Website
Friend
Other
Phone number
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Home Church
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
T-Shirt Size
*
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Liability Release Form
PLEASE READ CAREFULLY AND SIGN BELOW TO INDICATE YOUR AGREEMENT.
NOTE: THIS FORM INCLUDES A RELEASE OF LIABILITY.
Please review and complete the sections below and sign in the space provided to indicate your agreement with all statements made in such sections.
AUTHORIZATION AND RELEASE OF LIABILITY
I authorize my participation in the Agape Volleyball League of Emmanuel Baptist Church.
I understand that this Ministry is a nonprofit program and that my participation is voluntary and not essential to completion of requirements of any program, school or government agency. I understand that the Program is conducted by the Church and its volunteers and staff. I also understand that the Church is solely responsible for all aspects of the Program including selection and supervision of all persons conducting the Program. I further understand and agree that my participation in athletic and other activities of the League necessarily involves the risk of injury and even death from various causes, including but not limited to accidents, falls, strenuous and prolonged physical activity, dehydration, illness, collision or dispute with other participants, weather related injuries, playing area and equipment defects, and negligence of coaches and referees. I assume these risks. In consideration of the privilege of my participation in the Program, I hereby release, discharge, hold harmless and indemnify, and covenant not to sue, the Church, and all of the Church’s directors, officers, Pastors, trustees, deacons, employees, volunteers, insurers, agents and representatives, and all other persons associated with the Program (including without limitation any other participating sponsors, vendors, coaches and other event workers, officials, and drivers) as to any and all claims of me and other family members for personal injuries suffered by me, property damage, medical expenses, and economic loss arising directly or indirectly out of my participation in the Program, and any first aid, medical care or treatment provided to me in the event I am injured or become ill while participating in Program activities, and excepting claims that may not be released under applicable law. This Release of Liability shall be as broadly construed as allowed by law to include all claims and rights that I and that other family members may have. I am a legally responsible for myself. If any provision of this Release of Liability is deemed invalid, the remaining provisions shall remain in full force and effect. This Release of Liability shall be binding on me, my family, heirs, next of kin, legal representatives, beneficiaries, successors and assigns I hereby authorize the Church and the Agape Volleyball League to use, reproduce, distribute, display, and to license others to use, reproduce, distribute, and display, my image, and photograph, as well as any video, digital, or audio recording or reproduction, in connection with external and internal communications of the Church and the Agape Volleyball League for the sole purpose of advancing programs. By providing your email address, you agree to be included in occasional surveys from Agape Volleyball at which time you will have the opportunity to unsubscribe.
MEDICAL CONDITIONS
I understand that participation in the Program may involve strenuous and prolonged physical activity. I agree that I am healthy and able to participate in the Program activities. I understand that the Church or its representatives may request health information concerning me and/or ask me child to undergo a medical exam. If the Church determines that I do have a physical or mental condition that may affect my ability to safely and appropriately participate in Program activities, the Church may determine that I cannot be permitted to participate. I understand and agree that, while the Church desires that all will be able to participate, such decisions may have to be made out of concern for the best interests me and other participants.
CONSENT TO MEDICAL TREATMENT
In the event I am injured or become ill in Program activities, and if I am not able to make medical decisions, I hereby authorize the Church, its staff, volunteers including volunteer participants, coaches, assistant coaches, and referees, supervisors and drivers, to arrange for and consent on my behalf to emergency medical and dental care and treatment, including tests and radiological exams, and surgery, and hospital care and treatment, and to consent to medications for pain and other conditions as prescribed by medical personnel attending to me. I am responsible for payment of any medical charges or expenses not covered by my insurance or the insurance applicable to me (if any). My signature below indicates that all information provided in this form is true and accurate, and that I fully agree to all statements made on the form, including but not limited to the Authorization and Release of Liability, Medical Conditions, and Consent to Medical Treatment. Each responsible participant should sign.
Submit
PAYMENT
Home
Philosophy of Ministry
Elevate Ministries
KidCheck Information
Nursery
Elevate Kids (2 yrs - 5th Grade)
>
Elevate Kids Parents Page
Elevate Youth (6th-12th Grades))
Elevate Events
>
Yearly Youth Calendar
Camp CoBeAc Information
Music Camp
>
Music Camp Shirts
Music Camp Songs
Basketball League
>
EBL Registration Form
Coaching Resources
E-Team Member Resources
>
1st - 5th Resources
Spark Resource Page (4K-k5)
Glow Resource Page (2s & 3s)
Connect With Us