Worthington Tennis Outreach Program Safety Wavier
Type your full name below, which will be counted as an electronic signature. By typing your name, you acknowledge and understand that you are the legal parent/guardian for your child and that you are legally bound by the below statements.
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Email *
Secondary Email (not required)
Full name of the parent or legal guardian filling out this form  *
If your child has a tennis racquet? (If not tennis racquets will be provided) *
Name of child (Can put more than one) *
Infectious Diseases Release: I acknowledge and understand the following:      1. Participation includes possible exposure to infectious diseases including but not limited to COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist;     2. I knowingly and freely assume all such risks related to illness, such as COVID-19, even if arising from fault of the Released Parties; and      3. I hereby knowingly assume the risk of injury, harm and loss associated with the Activity, including any injury, harm and loss caused by the negligence, fault or conduct of any kind on the part of the Released Parties.      I hereby release, waive and forever discharge all liability, claims, and demands of whatever nature, for both me and my child, against Dublin TOP and their volunteers to the fullest extent permissible by law.
Release for Participation in Event or Activity:      1. I forever discharge Dublin TOP and its Volunteers, in their capacities from causes of action of any nature and kind, which I may have arising out of or relating to any injury, loss or damage to person and property that may be sustained as a result of participation in Dublin TOP-related events     2. I understand that participation involves inherent risks, including injury, disfigurement, paralysis and death, and I assume all related risks for me and my child, voluntarily participating in the Activity.     3. I agree to indemnify Dublin TOP against all claims, lawsuits, damages, including attorney's fees, relating to my participation in Dublin TOP.     4. This Release for Participation in Event or Activity shall not be in any way construed as an admission by Dublin TOP that it has acted wrongfully with respect to me or any other person, that it admits responsibility at any time for any purpose, or that I have any rights whatsoever against Dublin TOP.     5. I have carefully read and fully understand all the provisions of this Release and am freely and knowingly entering into this Release.
Photo Release: I hereby grant permission to the Dublin Tennis Outreach Program to use photographs and/or videos of my child and me taken during the Dublin Tennis Outreach Program’s tennis lessons in news publications, related to the mission of Dublin Tennis Outreach Program.
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