Spring 2026 Adult Tennis Programs

Medical Release and Authorization

I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the Lokahi Tennis and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb.

I, by signing this form, grant permission to Lokahi Tennis to use photographs or videos of myself or my work in education, outreach, or advertisement media published or authorized by the organization for the life of the photo/video. I understand the term work can include both visual arts and written pieces. I understand the term media can include Lokahi Tennis' partner organization websites, social media, publications, newsletters, videos, presentations, marketing material, newspaper and magazine articles, and television and film clips.

Waiver of Responsibility

Acceptance of my entry in this program is without assumption of responsibility of any kind by Lokahi Tennis and the Department of Parks and Recreation. In consideration of my entry, I do hereby for and on behalf of myself and my heirs and legal representatives release and forever discharge Lokahi Tennis, all organizers of this program and the Department of Parks and Recreation from any and all claims and demands of every kind, nature and character excepting gross negligence, reckless conduct, or willful, wanton conduct, which I may have or may hereafter acquire for any and all damages, losses or injuries which may be suffered or sustained by me in connection with my activities during the period for which such permission is granted and any period traveling to or from such event described, and all such claims are hereby waived and released and I covenant not to sue therefore.

The World Health Organization has declared the novel Coronavirus (COVID-19) a worldwide pandemic. Due to its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions which Lokahi Tennis (the "Organization") adheres to comply.

In consideration of my participation in the foregoing, the undersigned acknowledge and agree to the following:

•  I am aware of the existence of the risk on my physical appearance to the venue and my participation to the activity of the Organization that may cause injury or illness such as, but not limited to Influenza, MRSA, or COVID-19 that may lead to paralysis or death.
• I have not experienced symptoms that of fever, fatigue, difficulty in breathing, or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
• I have not, nor any member(s) of my household, traveled by sea or by air, internationally within the past 30 days.
• I did not, nor any member of my household, visit any any area within the United States that was reported to be highly affected by COVID-19, in the last 30 days.
• I have not been, nor any member(s) of my household, diagnosed to be infected of COVID-19 virus within the last 30 days.

Following the pronouncements above I hereby declare the following:

•  I am fully and personally responsible for my own safety and actions while and during may participation and I recognize that I may be in any case be at risk of contracting COVID-19.
• I agree to inform the coach via text message or email if I have contracted or have been exposed to the COVID-19 virus as soon as possible.
• With full knowledge of the risks involved, I hereby release, waive, discharge the Organization, its board, officers, independent contractors, affiliates, employees, representatives, successors, and assigns from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to uninteantional exposure or harm due to COVID-19.
• I agree to indemnify, defend, and hold harmless the Organization from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19.

By signing below I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; That I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.
This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted.