FLBC Volleyball Clinic Registration This form must be completed by the student athlete and a parent or guardian. Please submit one registration form per student. Students in 9th-12th grade are eligible to participate. You will receive a confirmation email when you successfully submit your registration. If you do not receive an email please contact events@flbc.edu. Student InformationName(Required) First Last Grade (2025-26 School Year)(Required)9th10th11th12thAddress(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code T-Shirt Size(Required)XSSMLXLRecognition & Agreement of Dress Conduct Policy(Required) I agree to the terms of the FLBCS dress conduct policy.FLBC Student Handbook, pg 28: FLBC acknowledges that any dress code will be subjective to some degree. Regardless of their choices after FLBC, all students are preparing to be examples in their family, workplace, community, and congregations. With dress standards, our overall goal is to create an environment that promotes Christ-centered community and a Christian witness to each other, and to the world. Hygiene and dress should emphasize cleanliness, neatness, maturity, modesty, and consideration for others over individual preferences. As adults, there is freedom for personal choice and individual expression. However, our commitment to community should reflect our pursuit of modesty by dressing in such a way as to not distract others or draw attention to ourselves inappropriately. Regardless of motivation or intent, the following guidelines are to be instructive in pursuing modesty and prioritizing respect for the community and for God’s Word. While on campus, students must wear clothing that is modest. Clothing that violates this standard at FLBC includes but is not limited to and applies to both sexes where applicable: • Garments that are revealingly tight/form fitting • Garments that are low-cut, or strapless • Garments that expose the midriff, back area, and/or undergarments • Skirts/dresses above the knee without opaque leggings • Short shorts (A minimum 4” inseam is required) Leggings/yoga pants may only be worn when covered by appropriate length shorts, skirts/dresses, or long shirts/sweaters that fully cover your bottom, even while sitting.Parent/Guardian InformationPhone(Required)Email(Required) Media Release I consent for my child to appear in photos or video footage of this event that may be used in FLBC promotional materials. Communication Preferences I would like to receive updates about future events and additional resources from Free Lutheran Bible College. Medical InformationEmergency Contact - Name(Required)Emergency Contact - Cell Phone(Required)Below are allergies or medical conditions that may be relevant to the FLBC staff in food prep or a physician in the event of an emergency:Liability Waiver & Medical Release(Required) I agree to the terms and conditions of the FLBCS Liability Waiver and Medical ReleaseFree Lutheran Theological Seminary Corporation d/b/a Free Lutheran Bible College & Seminary (FLBCS) Facilities Use Liability Waiver and Medical Release 1. Free Lutheran Bible College & Seminary assumes no liability for any damages or losses to persons or property arising out of the use of the facilities or the event described in this Agreement. User agrees that neither FLBCS, nor its trustees, agents, employees, representatives, successors or assigns, may be held liable in any way for any claims, damages or losses arising in any way out of the use of the facilities of FLBCS, including, but not limited to any claims by User. User agrees to indemnify and hold harmless FLBCS, its trustees, agents, employees, representatives, successors and assigns against any and all claims, losses, injury or damage arising in any way out of the event or use of the facilities, including but not limited to, all court costs and attorney’s fees incurred by any indemnified party. 2. User agrees to honor all rules and regulations imposed by FLBCS for the facilities. 3. If any of the above terms and conditions of this Agreement are breached by the User, FLBCS, its Director of Sports Ministry or any other person designated by FLBCS may, in its sole discretion, have the absolute right to cancel this Agreement. 4. This Agreement shall be governed and construed by the laws of the State of Minnesota. 5. This Agreement is intended by the parties as the final and binding expression of their agreement and is the complete and exclusive statement of its terms. This Agreement supersedes all prior negotiations, representations and agreements between the parties, whether oral or written, relating to the subject matter of this Agreement. 6. I authorize FLBCS staff who are in charge of any specific activity to make emergency medical decisions for my child in the event I cannot be reached. I will immediately notify the event coordinator of any change in the information presented here. I agree that this Assumption of Risk shall be valid until I revoke it. I sign this Assumption of Risk both in my own capacity as a parent/guardian of my child and in a representative capacity on behalf of my minor child. I represent and warrant to FLBC that I have completed this Assumption of risk form for my child to participate in this activity and that it is complete and correct in all its information.SignaturesFull name of parent/guardian who completed this form(Required)Full name of student athlete who completed this form(Required)Date(Required) MM slash DD slash YYYY Clinic Registration Fee Price: Payment(Required) Total Δ
