JTC Adult Clinic Registration

Adult Beginner Clinic

An introduction or refresher clinic to enhance play/skills
Day/Time/Pricing

TUESDAY NIGHTS 7:00-8:30 pm, $22.50 per clinic
Name *

First Name Last Name
Gender *

Male Female
Date of Birth *

Day Month Year
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Cellphone Number

Area Code Phone Number
Contact E-mail *
Have you had any prior instruction?

Yes No
If So, When and What Facility if applicable.
Emergency Contact Details
Name of Emergency Contact *
Relationship to you *
Phone Number

Area Code Phone Number
Work Phone
Cell Phone *
Acknowledgment Waiver of Liability

By Clicking "SUBMIT", You are hereby waiving Jonesville Tennis, LLC, its staff, and Alachua County any and all Liability for any injury incurred while involved in the Jonesville Tennis programs.

Furthermore, you are hereby authorizing Jonesville Tennis, LLC. and its staff to act in your best judgment in any emergency requiring medical attention in the event an emergency contact can not be reached.
COVID-19 Waiver of Liability

By clicking "SUBMIT", You are hereby authorizing that all statements below are true to the best of your knowledge and release Jonesville Tennis LLC., Alachua County, its entities, and any and all participants in this program who can be proven to be truthful on this waiver from any and all liability for the unintentional exposure or harm due to the COVID-19 Virus.

You are agreeing to the following:
- I affirm that I, as well as household members, do not currently have, nor have experienced the symptoms of COVID-19, including, but not limited to, cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste of smell WITHIN THE LAST 14 DAYS
- I affirm that I, as well as all household members, do not have any pending COVID-19 test results
- I affirm that I, as well as all household members, have not been diagnosed with COVID-19 WITHIN THE LAST 14 days
- I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 WITHIN THE LAST 14 DAYS
- I affirm that I, as well as all household members, have not traveled outside of the country, or to any city considered to be a "hot spot" for COVID-19 WITHIN THE LAST 14 DAYS
- I understand that neither Jonesville Tennis, LLC. nor Alachua County can be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the health history provided by each player.
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Adult Beginner Clinic

Day/Time/Pricing

Emergency Contact Details