FREE TENNIS LESSON ENROLLMENT

Participant Name

Participant Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Best Contact Phone #

Please enter a valid phone number.

Email Address

Is TEXTING ABOVE # OK? (We will communicate this way in the event of inclement weather)

YESNO

Is PARTICIPANT a CHILD or ADULT?

CHILDADULT

PARENT'S NAME (If participant is a child)

AGE OF CHILD:

NAME OF SCHOOL (If participant is a child)

PARTICIPANT WILL NEED TO BORROW A TENNIS RACQUET?

YESNO

ADULT RELEASE FORM:

I hereby acknowledge my plan to participate in the FREE LESSON PROGRAM. I represent and warrant to you that I am physically and mentally able to participate in the Program. I attest that I realize the inherent risks involved in the Program, appreciate the nature of such risks, and realize that attendance at or participation in this or related activities may result in personal injury or property damage. You are authorized on my behalf and at my account to take such measures and arrange for such medical and hospital treatment as you may deem advisable for my health and well-being without the need for further consent or permission.

I, the undersigned, individually acknowledge that will be using Program facilities at my own risk and that the GKTA, its officials/officers/volunteer personnel will not be responsible for any personal injury or property damage that my result from or arise out of my attendance at or participation in the Program and any related activities.

I, for myself, and our heirs, executors, and administrators, release, discharge and indemnify the GKTA, its officials/officers/volunteer personnel from all liabilities for damage, injury or illness to me or my property arising out of or resulting from my attendance at, participation in or travel to or from Program events.

ADULT RELEASE FORM SIGNATURE:

Clear

CHILD RELEASE FORM:

I hereby give my permission for my child to participate in the FREE LESSON PROGRAM. I represent and warrant to you that my child is physically and mentally able to participate in the Program. I attest that I and my child realize the inherent risks involved in the Program, appreciate the nature of such risks, and realize that attendance at or participation in this or related activities may result in personal injury or property damage. You are authorized on my behalf and at amy account to take such measures and arrange for such medical and hospital treatment as you may deem advisable for the health and well-being of my child without the need for further consent or permission.

I, the under-signed, individually and on behalf of my child acknowledge that my child will be using Program facilities at his/her own risk and that the GKTA and its officials/officers/volunteer personnel will not be responsible for any personal injury or property damage that may result from or arise out of my child's attendance at or participation in the Program and related activities.

I, for myself, my child, and our heirs, executors, and administrators, release, discharge and indemnify the GKTA and its officials/officers/volunteer personnel from all liabilities for damage, injury or illness to my child or his/her property arising out of or resulting from his/her attendance at, participation in or travel to or from Program events.

CHILD RELEASE FORM SIGNATURE by Parent/Guardian:

Clear

Participating in which lesson date:

Tyson Family Tennis Center July 14th 6 pm-7 pmTyson Family Tennis Center July 21st 6 pm-7 pm