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Personal Lesson Waiver Form
1
Player's Name
*
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First Name
Last Name
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2
Player's DOB
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/
Date
Day
Month
Year
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3
Club Affiliation
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Tolka Rovers
Other
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4
Please Specify
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5
Primary Contact Email Address
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example@example.com
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6
Primary Contact Phone Number
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Please enter a valid phone number.
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7
Today's Date
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-
Date
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8
WAIVER DETAILS
I (parent/guardian of player) hereby affirm that I am voluntarily starting a course of instruction in physical fitness and performance training in Basketball.
I am voluntarily participating in the Activity entirely at my own risk. In full consideration of the risk of injury while participating in the personal training, and for the right to participate.
I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily participate in this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Basketall training, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any kind of risks related to traveling to and from as well as participating the activity, which may include, but are not limited to, physical or phycological injury, pain, suffering, illness disfigurement, temporary or permanent disability, economic or emotional loss.
I acknowledge that I have carefully read this form and fully understand that it is a release of liability.
I expressly agree to release and discharge TR Academy, the trainer or instructor from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action for personal injury or property damage.
I have read the TR Academy's
Terms and Conditions
as well as TR Academy's
Privacy Policy
and
Child protection policy
.
By submittig this form, I agree to all of the above.
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9
Parent/Guardian's Signature
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Clear
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