1.Student Athlete Name *
5. Email Address *
6. Please list all your Social Media Platforms, Addresses, and URL's
12. How long have you played tennis?
13. Do you play any other high school sports?
14.Please list interesting hobbies?
1. Current School Name *
1. Parent/Guardian Name *
2. Email Address *
3. Relationship to Student- Athlete? *
4. Area Code Phone Number *
In consideration for my child’s participation in * hosted by the (“Program”), I hereby * RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND HOLD HARMLESS for all purposes SPONSOR, PROFESSIONAL SPORTS SERVICES, INC. BOARD OF DIRECTORS and their respective officers, servants, agents, volunteers, or employees (herein collectively referred to as RELEASEES) FROM ANY AND ALL LIABILITIES, RESPONSIBILITIES, CLAIMS, DEMANDS, CAUSES OF ACTION OR INJURY, INCLUDING DEATH, that may be sustained by my child, or to any property belonging to me or my child, whether caused by the negligence of the RELEASEES or otherwise, while participating in the Program or while in, on, or upon the premises where the Program is being conducted.
Youth Protection Program Participation Agreement and Waiver Program activities may include, but are not limited to the following:
I am fully aware of the risks and potential hazards connected with participating in the Program, including but not limited to, the risk of data mining, phishing, viruses, malware, a data breach of online information cyberbullying, exploitation, victimization, cyberstalking, online grooming, cyber predators, digital footprint, reputation loss, compliance violations, brand hijacking, image replication, and I hereby elect to voluntarily participate in the Program and engage in such activity knowing that the activity may be hazardous to my child and/or my or my child’s property.
I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, which may be sustained by my child, or any loss or damage to property owned by me, as a result of my child being engaged in such an activity, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES or otherwise.
I further acknowledge that my child is in good mental and physical condition for the limited purpose of Program registration and participation, I hereby give permission for Professional Sports Services, Inc. to collect information from me and my child through an online platform. I understand that this information will not be shared with any third party unless otherwise required by the third-party platform provider for participation, or unless required by law, regulation, and/or Professional Sports Services, Inc. policy.
I further hereby authorize Professional Sports Services, Inc. to photograph and video/audio record (“Record”) my child during the Program and use or distribute any photographs, audio, or video recording (“Materials”) related to Program activities that my child is depicted in. I also authorize the use of these materials for publication in a brochure, on Professional Sports Services, Inc. websites, or other Professional Sports Services, Inc. promotional material. Materials may also be distributed to other Program participants, or the public for educational purposes, including but not limited to a Program group photograph of all participants.
I HEREBY EXPRESSLY RECOGNIZE AND ASSUME ALL RISKS ASSOCIATED WITH MY CHILD’S PARTICIPATION IN THE PROGRAM AND VOLUNTARILY RELEASE, WAIVE, DISCHARGE, COVENANT NOT TO SUE AND HOLD HARMLESS THE RELEASEES. I AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEES from any loss, liability, damage, or costs, including court costs and attorneys’ fees, which may be incurred due to my child’s participation.
In the Program, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES or otherwise. It is my express intent that this Program Participation Agreement and Waiver Form shall bind the members of my family and spouse if I am alive, and my heirs, assigns, and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the above-named RELEASEES. I hereby further agree that this Participant Release, Consent, and Waiver of Liability shall be construed in accordance with Professional Sports Services, Inc.
I have given my daughter/son permission to participate in Professional Sports Services, Inc. program events and certify that she/he is in good health and can take part in all program events. If an injury occurs, I authorize the staff members to take all proper action and use the emergency service available at the nearest hospital if necessary. I understand my personal insurance will be used in this case.
IN SIGNING THIS PARTICIPANT CONSENT, RELEASE, AND WAIVER OF LIABILITY, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing, understand it, and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducement, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent and I am the parent or guardian of the child participant, and I execute this Participant Consent, Release, and Waiver of Liability for full, adequate, and complete consideration, fully intending to be bound by same.
Printed Parent or Guardian Name: * Signature of Parent or Guardian: Please follow the procedure to uplead the signature, if you don't know. Explore it
***If you fill up the form from the PC/Laptop, then***
Date: *
All information is accurate and truthful to my knowledge. * Yes
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