TENNIS PRIME, LLC WAIVER OF LIABILITY AND MEDICAL RELEASE FOR MINOR PARTICIPANTS at Fort Lee Racquet Club.
I hereby voluntarily permit my child to participate in the Programs, as hereinafter
defined, operated or hosted by Tennis Prime, LLC (“Tennis Prime”) and/or the
United States Tennis Association (“USTA”), at Fort Lee Racquet Club and their
respective affiliates, with an address of 532 North Avenue, Fort Lee, NJ 07024.
I UNDERSTAND AND FULLY ACCEPT THAT THERE ARE RISKS INVOLVED IN
SPORTS, AND THAT ACCIDENTS AND INJURIES ARE COMMON AND ORDINARY
OCCURRENCES OF SPORTS. I HEREBY AGREE TO ACCEPT ANY AND ALL
RISKS OF INJURY OR DEATH, AND VERIFY THIS STATEMENT BY SIGNING THIS
RELEASE FORM AND/OR AS A CONDITION OF PARTICIPATION IN THE
PROGRAMS AS HEREINAFTER DEFINED.
Recognizing the possibility of physical injury, and in consideration of Tennis
Prime and/or the USTA, Fort Lee Racquet Club and their respective affiliates,
accepting the participant for its programs and activities, or those conducted on
Tennis Prime’s Premises, including social events (the “Programs”), I, the
parent/guardian of the participant, a minor, do hereby release, discharge and/or
otherwise indemnify Tennis Prime, its affiliated organizations, officers, coaches,
referees, managers, board members, tournament hosts and their officials, their
employees and associated personnel, Fort Lee Racquet Club, including the
owners of the fields and facilities utilized for the Programs, and/or the USTA, its
affiliated organizations and sponsors, against all actions or claims that I or my
child now or hereafter have that arise from damage or injury to my child, or to any
person or property, resulting from the negligence or other acts of Tennis Prime
and/or the USTA in connection with my child’s participation and/or being
transported to or from the same, which transportation I hereby authorize, by the
officer, coach or agent(s) of Tennis Prime. I further agree that this waiver, release
and assumption of risks are to be binding on my heirs and assigns.
My child has received a physical examination by a physician and has been found
physically capable of participating in the Programs. I, the parent/legal guardian of
my child, hereby give my consent to have an athletic trainer and/or doctor of
medicine or dentistry provide my child with medical assistance and/or treatment.
This care may be given under whatever conditions are necessary to preserve the
life, limb, or well-being of my child. I further agree to pay all medical, hospital, or
other expenses which my child or I may incur because of such treatment.
On behalf of my child I do hereby authorize Tennis Prime, including its principals,
agents and employees, to photograph or otherwise render images of the
aforesaid minor in connection with the Company’s business, whether at training,
matches, tournaments or otherwise. I further authorize the Company to use such
images in connection therewith, including, but not limited to, for promotional,
marketing, business and other purposes, and in connection with the foregoing,
do hereby waive any claim of ownership or other rights in such photographs or
other images or renderings whether in print, photographic, electronic or any
other format whatsoever and further grant, assign and transfer such rights to the
BY SIGNING THIS RELEASE, I ACKNOWLEDGE AND AGREE THAT I HAVE
CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I
AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT
BETWEEN ME AND TENNIS PRIME, LLC.