Adult Tennis Enrolment Form

Name*

FirstLast

Phone Number*

Please enter a valid phone number.

Email*

Emergency Contact*

FirstLast

Emergency Contact Phone Number*

Please enter a valid phone number.

Can photos taken of you by PS…Tennis during Adult/Cardio Tennis sessions be used by PS…Tennis and/or Western Suburbs Tennis Club on their relevant website or social media for marketing purposes.

YESNO

Do you have any medical conditions including, but not limited to; allergies, diabetes, heart condition, epilepsy, asthma (provide asthma plan), a current illness, a disability/chronic illness, pregnancy? If YES please provide details.

1. Consent
I consent to participating in PS…Tennis Cardio Tennis fitness and tennis sessions (including all game play, warm-up and cool down activities). I acknowledge that I am fit and able to participate in the Cardio Tennis session and there are no health issues or existing conditions that will affect my participation.
2. Collection and storage of information
I acknowledge and agree that, subject to PS…Tennis and Tennis Australia Limited (“Tennis Australia”) complying with applicable privacy and health records legislation, PS…Tennis and Tennis Australia may collect and store my personal information, and contact me using my personal information to advise me of promotions, events, special offers and other like activities offered by Tennis Australia or its stakeholders. Except where permitted or required by law, or where your consent is obtained, this information will not be disclosed to third parties. I consent to PS…Tennis providing Tennis Australia with my personal information for uses contemplated above.
3. Consent to emergency treatment and transport
You acknowledge and agree that tennis is a physical sport and that there is risk of injury in playing tennis and participating in the Cardio Tennis Session. I consent to any employee, official, agent or representative of PS…Tennis obtaining on my behalf and at my expense any emergency medical assistance, treatment and transport as deemed reasonably necessary.
4. Risk Warning
You acknowledge that by participating you will be exposed to certain risks, including the risk of physical injury. You may also be exposed to the possibility of contracting an illness. You agree that your participation is entirely at your own risk. You have read and understood this risk warning and voluntarily accept and assume the inherent risks in participating.
5. Acknowledgement and release
In consideration of PS…Tennis permitting me to participate in the Cardio Tennis Session, I release and discharge, on behalf of myself (and heirs and legal representatives), PS…Tennis, Tennis Australia and the owner of the premises upon which the Cardio Tennis Session is conducted (and their respective officers, directors, employees and representatives), of and from any and all claims, demands, suits, damages, liabilities, costs (including legal costs), losses and injury I may suffer or sustain, by negligence or otherwise, to the fullest extent permitted by law in connection with any Cardio Tennis session and related activities in which I am involved.
6. Revocation of consents
I acknowledge that I may only revoke the consents in clauses 1 to 3 by providing PS…Tennis with 14 days prior written notice.

Signature*

Date*

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