1 Athlete & Parent/Guardian InformationAthlete full legal name
Parent or legal guardian full name
Relevant medical conditions, allergies, medications, or accommodations (or “None”)
2 Transportation PermissionI authorize only the selections marked below for transportation to approved Venom Volleyball Club practices, training, tournaments, and club events during this season. Drivers must be authorized by the club, appropriately licensed, and meet applicable insurance and youth-protection requirements.
Yes: Club-arranged local transportationYes: Club-arranged out-of-town transportationNo: I will arrange all transportation independently
Transport in a coach’s or volunteer’s personal vehicle is not authorized by this form unless separately approved by the club and parent/guardian in compliance with applicable policies. Venom will communicate pickup/drop-off plans in advance. Seat belts are required; unauthorized detours and one-on-one adult/minor transportation are prohibited except as allowed by applicable safeguards and written consents.
3 Overnight Travel & Team Hotel LodgingFor overnight events, Venom will provide the destination, dates, hotel name/address, transportation plan, supervision contacts, and relevant trip rules before departure. Season-long permission below does not replace event-specific acknowledgment or any required safeguarding consent.
Yes: My athlete may participate in overnight club tripsNo: My athlete may not participate in overnight club trips
Hotel accommodation selection (choose one):
I authorize my athlete to stay in a Venom-designated shared athlete room without me present in the room My athlete may travel overnight but will stay with me or another guardian I approve I do not authorize team hotel lodging
Athletes may be assigned to shared rooms with other athletes. Adults will not share sleeping accommodations with minor athletes except as expressly permitted under applicable youth-protection rules. Venom will implement supervision, curfew, room-access, and check-in procedures consistent with governing-body requirements. No promise of continuous individual supervision is made.
5 Emergency Medical CareIf a parent/guardian cannot be reached promptly, I authorize designated Venom representatives to seek emergency evaluation and treatment for my child when reasonably necessary, including contacting emergency medical services. Venom will attempt to contact me as soon as practicable. This is not a general authorization for non-emergency treatment.
I consent to the emergency medical authorization above I do not consent; contact me for authorization except as otherwise permitted by law
6 Acknowledgment & Electronic SignatureI affirm I am legally authorized to consent for this athlete; I have read and understand my selections; and I understand I may revoke future permissions in writing, subject to arrangements already underway. This document does not release Venom or others from liability for negligence or unlawful acts. Participation remains subject to applicable USA Volleyball/region safeguarding rules and club policies.
I have read and agree to the acknowledgment above.
Guardian typed legal name (electronic signature)