WSNC Waiver & Release
  • WSNC Waiver & Release

  • By participating, volunteering or spectating at Wheel Serve NC programs and events, I, the undersigned, being aware of my own health and physical condition, acknowledge the risks associated with playing tennis, accept those risks voluntarily and agree to hold harmless Wheel Serve NC (WSNC), the host and host facility, the instructor and their employees and/or volunteers against any claims of any kind of injury or loss suffered at the WSNC program or event. I waive and release any and all rights and claims against WSNC and their partners and any other participating municipalities and/or their employees for any injury or loss suffered while taking part in any WSNC program and/or event. Having such knowledge, I hereby assume all risks connected therewith and consent to participating in said program.
     
    I agree to disclose to Wheel Serve NC any physical limitations, disabilities, ailments or impairments which may affect my ability to participate in said physical fitness program.
     
    In addition, I hereby grant and authorize Wheel Serve NC the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of me to be used in and/or for any lawful promotional materials including, but not limited to, social media, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, press kits and submissions to journalists, websites, social networking sites and other print and digital communications, without payment or any other consideration.

    By signing below I have read, understand and agree to the foregoing. If I am under the age of 18, my parent or legal guardian has agreed to the foregoing by submitting this form.

     

  • Date
     - -
  • Format: (000) 000-0000.
  • What type of participant are you?
  • Are you under the age of 18 years-old? If so, a parent/guardian must submit this form.
  • By signing below and submiting this form, you understand and agree to this liability waiver and media release form and if you are under the age of 18, this represents your parent/guardian's understanding and agreement to this form.

    Thank you for being a part of Wheel Serve NC. We appreciate your time, interest and passion for wheelchair tennis in North Carolina!

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