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COOPERSTOWN TENNIS
PO BOX 425
Cooperstown NY 13326
RELEASE AND WAIVER OF LIABILTY FOR MINORS
Please read carefully before signing
In consideration for being permitted to participate in activities sponsored by Cooperstown Tennis the undersigned parent or legal guardian for the Participant acknowledges and agrees that there are known and unknown risks involved in playing tennis, including but not limited to personal injury, permanent disability, or loss of life, and willingly and knowingly assumes the risk for myself and the Participant associated with participation in these activities including activities on site, off site, and while traveling in connection with the program. I further accept that there are also known and unknown risks from other participants, which I also willingly assume for myself, and the Participant. I represent that the Participant is in good health or has been cleared by a physician to participate in tennis activities.
The undersigned, for myself and the Participant, our heirs, assigns or representatives hereby release and hold harmless Dr. and Mrs. Emery Herman, Cooperstown Tennis, and all their agents, employees, independent contractors, officers, heirs, successors and assigns, from any damages, losses, injuries or causes of action arising from or in any way associated with participation in activities sponsored by Cooperstown Tennis including activities on site, off site, and while traveling in connection with the program.
Should a medical emergency arise, the parent/guardian will be notified immediately. If the undersigned is not available for consultation, the undersigned authorizes any representative of Cooperstown Tennis to have the participant treated for any medical emergency during their participation in the activities sponsored by Cooperstown Tennis. Furthermore, the participant and/or parent/guardian agree to pay all costs associated with medical care and transportation for the participant.
I represent that I am the parent or legal guardian for:
______________________________________________________________(The “Participant”)
*PHOTOGRAPHY WAIVER
The undersigned, for myself and the Participant, also authorize Cooperstown Tennis to use any film, video, photograph or likeness of the Participant or the undersigned or any information regarding the Participant’s involvement in the tennis program for any purpose, including but not limited in publications, recruitment materials, the Cooperstown Tennis website, without payment to the Participant or the undersigned.
I represent that I am the parent or legal guardian for:
______________________________________________________________(The “Participant”)
Signature: _____________________________________________ Date: ___________________
Print Name: ____________________________________________
PO BOX 425
Cooperstown NY 13326
RELEASE AND WAIVER OF LIABILTY FOR MINORS
Please read carefully before signing
In consideration for being permitted to participate in activities sponsored by Cooperstown Tennis the undersigned parent or legal guardian for the Participant acknowledges and agrees that there are known and unknown risks involved in playing tennis, including but not limited to personal injury, permanent disability, or loss of life, and willingly and knowingly assumes the risk for myself and the Participant associated with participation in these activities including activities on site, off site, and while traveling in connection with the program. I further accept that there are also known and unknown risks from other participants, which I also willingly assume for myself, and the Participant. I represent that the Participant is in good health or has been cleared by a physician to participate in tennis activities.
The undersigned, for myself and the Participant, our heirs, assigns or representatives hereby release and hold harmless Dr. and Mrs. Emery Herman, Cooperstown Tennis, and all their agents, employees, independent contractors, officers, heirs, successors and assigns, from any damages, losses, injuries or causes of action arising from or in any way associated with participation in activities sponsored by Cooperstown Tennis including activities on site, off site, and while traveling in connection with the program.
Should a medical emergency arise, the parent/guardian will be notified immediately. If the undersigned is not available for consultation, the undersigned authorizes any representative of Cooperstown Tennis to have the participant treated for any medical emergency during their participation in the activities sponsored by Cooperstown Tennis. Furthermore, the participant and/or parent/guardian agree to pay all costs associated with medical care and transportation for the participant.
I represent that I am the parent or legal guardian for:
______________________________________________________________(The “Participant”)
*PHOTOGRAPHY WAIVER
The undersigned, for myself and the Participant, also authorize Cooperstown Tennis to use any film, video, photograph or likeness of the Participant or the undersigned or any information regarding the Participant’s involvement in the tennis program for any purpose, including but not limited in publications, recruitment materials, the Cooperstown Tennis website, without payment to the Participant or the undersigned.
I represent that I am the parent or legal guardian for:
______________________________________________________________(The “Participant”)
Signature: _____________________________________________ Date: ___________________
Print Name: ____________________________________________