Waiver of Liability, Assumption of Risk and Emergency Contact Form
All participants, under 18 years of age, must have this form completed and submitted before participation.
I, as the parent/guardian of , permit participation in the 2023 Panther Pan-
O-Prog Outdoor Sand/Grass Volleyball Tournament. I understand that the undersigned will be engaging in activities that involve risk of serious injury which might not only result from their own actions (inactions or
negligence) but the actions (inactions or negligence) of others, the rules of play, the condition of the premise or of
any equipment used, and further that there may be other risks neither known to the tournament staff or reasonably
foreseeable at this time. I will not hold Lakeville North High School nor the Lakeville North volleyball program,
tournament, staff, or adult supervisors responsible for any accident or injury that may occur during participation in
I agree to indemnify, defend and hold the Panther Pan-O-Prog Beach Volleyball Tournament harmless from all liability, loss, cost, claim or damage which may be in connection with my participation in the tournament. I understand that the Panther Pan-O-Prog Beach Volleyball Tournament has rules and standards of conduct and I agree to abide by these rules, terms and conditions for participation. I, as the participant in the 2023 Panther Pan- O-Prog Beach Volleyball Tournament, understand that I will be accountable for my actions and will act in a responsible manner. If I am unable to participate positively, I understand that I may be removed from the tournament immediately and future participation will be pending.
19600 Ipava Ave, Lakeville, MN 55044
Phone: (952) 232-3600