Fields marked with an * are required
To persuade the Wabash Valley YIA to accept the registration and permit the participation in YIA Volleyball by the above named individual, I hereby give my consent to agree to release indemnity, and hold harmless the Wabash Valley YIA and Wabash Community Unit School District #348, their officials, coaches, and representatives from any claim arising out of any injury to the above named individual while participating in any YIA Volleyball sanctioned activity or while in transit to or from thereto. I, also, hold harmless the Wabash Valley YIA and Wabash Community School District #348, their officials, coaches, and representatives from any claims arising out of injuries or conditions caused by or aggravated by my refusal to obtain available medical treatment based on religious or philosophical beliefs.
Should the above named individual require medical care for either illness or injury, I give my consent for any appropriate medical treatment by a person certified to perform such acts.
No child will be denied the opportunity to play due to inability to pay. Questions? Call the office at 618-263-4230.
* If you’ve chosen to pay online, please visit the page of the sport you’re signing your child up for, click on the provided paypal link, and follow the instructions given.