AS CUSTODIAL PARENT OR COURT-APPOINTED GUARDIAN OF THE CHILD ABOVE, I DO FOR BOTH OF CHILD’S PARENTS, FOR CHILD AND CHILD’S HEIRS AND SUCCESSORS, RELEASE ILLINI ELITE VOLLEYBALL, INC. AND ANY OF ITS AGENTS, EMPLOYEES OR REPRESENTATIVES (ALL OF THE FOREGOING COLLECTIVELY "ILLINI ELITE VBC") FROM ALL CLAIMS ARISING OUT OF OR CONNECTED WITH CHILD’S PARTICIPATION IN ANY ILLINI ELITE VBC PROGRAM. I PROVIDE THIS RELEASE BECAUSE I AM MINDFUL THAT ATHLETICS, PHYSICAL TRAINING AND COMPETITION CAN BE A DANGEROUS UNDERTAKING REGARDLESS OF HOW CAREFUL OR PRUDENT ANY PERSON, FIRM OR FACILITY MIGHT BE. FURTHER, I GIVE PERMISSION TO ILLINI ELITE VBC TO TREAT CHILD OR ARRANGE FOR MEDICAL CARE OR TREATMENT FOR CHILD IN ANY SITUATION DEEMED REASONABLY NECESSARY BY ILLINI ELITE VBC IF CIRCUMSTANCES PERMIT, ILLINI ELITE VBC SHALL ATTEMPT TO COMMUNICATE FIRST VIA TELEPHONE WITH THE EMERGENCY CONTACT.
In the event neither emergency contact can be reached or if the urgency of the situation requires immediate attention without prior telephone contact, ILLINI ELITE VBC may arrange for medical treatment for the Child at the expense of the parent or guardian signing this form. Health Insurance, PPO information for Child is as follows: