• Madison High School Junior Team Tennis

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  • Consent, Waiver and Release Form

  • This document affects your legal rights. By your electronic signature below, you acknowledge that you have read and understood the disclosures of risks, voluntarily accept those risks, and agree to be bound by the terms of this Waiver and Release.

    AGREED TO AND ACCEPTED:

    Participant hereby represents that if this Consent, Waiver and Release Form is not signed by Participant’s parents, Participant is eighteen (18) years of age or older. Participant understands, agrees, and acknowledges that Participant’s electronic signature is authentic and a valid form of acceptance of the terms and conditions of this Consent, Waiver, and Release Form.

     


    IN CONSIDERATION of being permitted to participate in any way in the EVENT(S), EACH OF THE UNDERSIGNED, for him/herself, his/her personal representatives, heirs, and next of kin: 

     

    HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the USTA/Midwest Section or District Offices, and all of their directors, officers, agents, volunteers and employees, (hereinafter referred to as “Releasees”) FROM ALL LIABILITY TO THE UNDERSIGNED, his/her personal representatives, assigns, heirs and next of kin FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIM OR  DEMANDS  THEREFORE ON ACCOUNT OF INJURY AND/OR EXPOSURE TO INFECTIOUS SYNDROMES OR DISEASES TO THE PERSON OR PROPERTY OR RESULTING IN ILLNESS AND/OR DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELATED TO THE EVENT(S), WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. BY PARTICIPATING OR ATTENDING THIS EVENT YOU ASSUME ALL RISKS WHETHER KNOW OR UNKNOWN.  
     

    HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and each of them FROM ANY LOSS, LIABILITY, DAMAGE, OR COST they may incur arising out of or related to the EVENT(S) WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES or otherwise. 
     

    HEREBY acknowledges that THE ACTIVITIES OF THE EVENT(S) MAY BE DANGEROUS and involve the risk of exposure to infectious syndromes and diseases, serious illness, injury and/or death and/or property damage and he/she ASSUMES FULL RESPONSIBILITY FOR ANY RISK WHATSOEVER, INCLUDING BUT NOT LIMITED TO BODILY INJURY, EXPOSURE, DEATH OR PROPERTY DAMAGE arising out of or related to the EVENT(S) whether caused by the NEGLIGENCE OF RELEASEES or otherwise. 
     

    HEREBY grants to the Releasees (and grants to the Releasees the right to grant to others), as well as their successors and assigns, in perpetuity, the irrevocable right (but not the obligation), with or without  my  knowledge,  to  film,  tape,  photograph, record, exhibit, edit, alter, copy, reproduce, license, sell, rent, disclose, display, publish, distribute, broadcast, webcast, prepare derivative works from or otherwise preserve, use and/or exploit in any format and/or manner now known or hereafter developed, whether commercial or non-commercial in nature (collectively, the “Use and Materials”): (1) my appearance at and/or participation in the Event; (2) my name, likeness, signature, voice, singing voice, conversation, sounds, biographical data, testimonials, and/or any other information or material secured by the Releasees in connection with my appearance at and/or participation in the Event. I agree that Releasees shall have the right to the Use and Materials, for their own account, throughout the universe and in perpetuity. I acknowledge and agree that I shall not be entitled to receive any compensation whatsoever in connection with the Releasees’ exercise of its Use and Materials rights. 
     

    I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF ALL RISK, AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL   RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. 
     
     

  • PHOTO CONSENT: Participant hereby consents, in perpetuity, throughout the world, to the use, adaptation, reproduction, transmission, publishing, printing or disseminating (“Uses”) of Participant’s name, voice, image and/or likeness in any live or recorded transmission, recording, or photograph taken of Participant while participating in USTA/Midwest Section “event”, any related event(s), or any tryout competition for such event(s), in any and all media now existing or hereafter discovered or developed. Participant consents to all such Uses without any further compensation or other consideration becoming due to Participant. As this consent will be acted upon forthwith, it is irrevocable.

    The USTA/Midwest Section Districts include Central Indiana, Chicago, Mid-South Illinois, Northeast Michigan, Northeastern Ohio, Northern Illinois, Northern Indiana, Northern Michigan, Northwestern Ohio, Ohio Valley, Southeast Michigan, Western Michigan and Wisconsin.

  • MEDICAL RELEASE: 

    HEREBY acknowledges that THE ACTIVITIES OF THE EVENT(S) MAY BE DANGEROUS and involve the risk of exposure to infectious syndromes and diseases, serious illness, injury and/or death and/or property damage and he/she ASSUMES FULL RESPONSIBILITY FOR ANY RISK WHATSOEVER, INCLUDING BUT NOT LIMITED TO BODILY INJURY, EXPOSURE, DEATH OR PROPERTY DAMAGE arising out of or related to the EVENT(S) whether caused by the NEGLIGENCE OF RELEASES or otherwise. 

  • Agreed to and Accepted

  • This document affects your legal rights. By your electronic signature below, you acknowledge that you have read and understood the disclosures of risks, voluntarily accept those risks, and agree to be bound by the terms of this Waiver and Release.

    AGREED TO AND ACCEPTED:

    Participant hereby represents that if this Consent, Waiver and Release Form is not signed by Participant’s parents, Participant is eighteen (18) years of age or older. Participant understands, agrees, and acknowledges that Participant’s electronic signature is authentic and a valid form of acceptance of the terms and conditions of this Consent, Waiver, and Release Form.

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  • Agreed to and Accepted

  • THE FOLLOWING MUST BE COMPLETED IF PARTICIPANT IS UNDER 18 YEARS OLD

    In consideration of the Participant’s participation, I, by my signature below, and in my capacity as Participant’s parent or legal guardian, hereby (a) give permission for the Participant, who is my child or ward, to participate voluntarily in the Player Development Program, and (b) acknowledge and agree to all of the terms set forth in this Waiver and Release form.

    By checking below, I am consenting to use of this electronic document and signature instead of an original signature on paper. I hereby acknowledge that my electronic signature is authentic, is a valid form of acceptance, and is sufficient to bind me to the terms of this Waiver and Release.

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