Great Northwest: Summer Tennis Please fill out the form below. Payments for each session need to be made directly to the coach. $75 / week from 11 am to 11:45 am June: 18-22 25-29 July: 9-13 16-20 Aug: 13-17 For private schedules and opportunities, call Coach Bill: 210-440-5982 Question Title * 1. Participant's Information First and Last Name Mailing Address Cell Phone Alternate Phone Email Age (if under 18) Question Title * 2. Parent's Information (Only needed if Participant is under 18) First and Last Name Mailing Address Cell Phone Alternate Phone Email Question Title * 3. Choose the class you would like to attend. Private Lessons (time TBA) Summer Camp (11 am - 11:45 am) Question Title * 4. Does the participant have any medical issues (ex: asthma, knee injuries, etc). Question Title * 5. SPORTSMAN SHIP CODE: The Great Northwest promotes good sportsmanship and will not condone unsportsman-like behavior. As a parent, coach and spectator, I will set a good example of sportsmanship. By typing your full name below, you agree to the above statement. Type in the date Question Title * 6. By checking each statement statement below, you acknowledge and agree with that statement. 1. WAIVER & COVENANT NOT TO SUE With permission to participate in the Association’s activities, I, for and on behalf of Participant, myself, and all others claiming through us ( “Us”, “We” or “Our”), agree to indemnify, the Association, defend, hold harmless, waive, discharge, and covenant not to sue, for any and all purposes, the Association and its officers, agents,volunteers, or employees (“Association”), or, Fitness Instructor/s, from any and all liabilities, losses, claims, demands, including costs, court costs and attorneys’ fees, or injuries, including death, that may be sustained while participating in activities, or while on property that is owned, leased, or controlled by the Association, including travel to and from the Association’s activities. 2.INDEMNIFICATION AGREEMENT I am fully aware that there are inherent risks involved with these activities and I and We choose to voluntarily allow the Participant to participate and I and We voluntarily assume full responsibility for any risks of loss,property damage, or personal injury, including death, which may be sustained resulting from involvement in said activities. I and We further agree and covenant not to sue, and to indemnify and hold harmless the Association for any loss, liability,damage or costs, including court costs and attorneys’ fees. 3.WAIVER It is my express intent that this Waiver shall bind Us. This Waiver shall be governed by the laws of Texas, and venue dispute resolution will be Bexar County, Texas. 4.MEDICAL TREATMENT AUTHORIZATIONI consent to the Association to respond to accidents and emergencies for any required medical treatment resulting from participation in or presence at any activity. I understand and agree that such medical care is provided under the provisions of Section 74.151, Texas Civil Practices and Remedies Code and that such care is provided as “Good Samaritans”. Further, whether the Association consents to the provision of care or provides the care, payment for all such care is my responsibility. I agree to indemnify and hold harmless the Association for any costs incurred to treat Us even if the Association has signed hospital documentation promising to pay for the treatment due to my inability to sign. I consent to the information here being shared with medical personnel. Question Title * 7. In typing my full name below, I acknowledge and represent that I have read and understand the above statement, and I agree to them voluntarily; am eighteen (18) years of age or older and am competent to execute this agreement. Type full name to sign Type the date Done
