2025-2026 PYA Commitment

This commitment is to be filled out/read by a parent/guardian.

Player first name

Player last name

Tryout Number

By signing below, you are committing to play volleyball for Performance Youth Academy (PYA) Volleyball Club for the 2025-2026 club season and agree to the following:

I/We realize that Performance Youth Academy is an excellent program and I, along with my parent/guardian, pledge our financial support for the entire season, even if I choose to leave the program. If I decide not to participate in the club season after signing this commitment, I will provide a written notice to Coach Dailey (jdaileyap@gmail.com). I/my parent guardian fully understand we are financially responsible for all outstanding fees after leaving the program.

By accepting, I hereby commit to paying my invoice in its entirety, even in the event I leave the program prior to season end, except in the case of the following scenarios:

Club deposit and fees are non-refundable. Upon completing registration and paying the deposit, you hereby agree to pay for the entirety of the season. Payment plans can be suspended if:

-Player suffers a season ending injury as a DIRECT result of participating in a sanctioned club event. Doctor's note required.

-Player suffers serious illness preventing them from continuing the season. Doctor's note required.

-Player is released directly from the club by the Director.

Any payments made prior to a reason eligible for the suspension of a payment plan are non-refundable as services have already been rendered. No refunds will be granted for a player unable to attend a scheduled tournament/practice.

I fully understand that committing to PYA means my team will attend multiple tournaments as listed on my schedule. I pledge my commitment to the team I am placed on that I WILL ATTEND all tournaments this season.

Physical Therapy & Recovery Services

Performance Youth Academy Volleyball Club ("the Club") may offer access to physical therapy, injury prevention, and recovery services provided by independent licensed professionals ("Therapists") during training, tournaments, or other Club-related events.

By signing this agreement, the parent/guardian and athlete acknowledge and agree to the following:

1. Independent Providers: All physical therapy and recovery services are delivered by licensed, third-party professionals who are not employees, agents, or representatives of Performance Youth Academy Volleyball Club.

These providers maintain their own liability insurance and professional certifications.

2. Voluntary Participation: Use of such services is voluntary. Athletes and families are encouraged to consult with their primary physician before engaging in any therapy or recovery services offered by the independent

providers.

3. Release of Liability: By participating in services provided by these independent therapists, the athlete and parent/guardian agree to hold harmless and release Performance Youth Academy Volleyball Club, its staff, coaches, and ownership from any and all liability, claims, demands, actions, or causes of action arising out of or related to any treatment, injury, or perceived injury occurring during or following use of such services.

4. Consent to Treat: By signing this agreement, the parent/guardian provides consent for the athlete to receive treatment from the Club-approved physical therapy providers, and acknowledges that any medical information disclosed or collected in the course of treatment remains between the provider and the athlete/family under HIPAA regulations.

I acknowledge and agree to the above clause about Physical Therapy & Recovery Services.

Parent signature

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Date

Please keep an eye out for information coming about Deposits, Orientation, etc. in your email inbox within 5-7 business days.