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WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19

ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT

In consideration of being allowed to participate on behalf of Dallas Tennis Association and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

  1. Participation includes possible exposure to an illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While league and facility regulations, restrictions, particular rules, and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,
  2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
  3. I willingly agree to comply with the stated and customary terms and conditions for participation and will take full responsibility to protect myself against contraction of infectious diseases. If, however, I observe any unusual or significant hazard, personal or otherwise, during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
  4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Dallas Tennis Association, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premised used to conduct the event ("RELEASEES"), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

October 20, 2020 THIS WAIVER IS VALID AND APPLICABLE TO ALL DTA EVENTS AND ACTIVITIES FROM AUGUST 7, 2020 THROUGH AUGUST 6, 2021.

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Please complete for all USTA teams on which you participate

LEAGUE(S)
Men's 18+ Adult League
Women's 18+ Weekday Adult League
Women's 18+ Weekend Adult League
Men's 40+ Adult League
Women's 40+ Weekday League
Women's 40+ Weekend League
55+ Adult League
65+ Adult League
18+ Mixed
40+ Mixed
55+ Mixed
Tri-Level
Combo Doubles
Lonestar
NTRP*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Please complete for all USTA teams on which you participate

LEAGUE(S)
Men's 18+ Adult League
Women's 18+ Weekday Adult League
Women's 18+ Weekend Adult League
Men's 40+ Adult League
Women's 40+ Weekday League
Women's 40+ Weekend League
55+ Adult League
65+ Adult League
18+ Mixed
40+ Mixed
55+ Mixed
Tri-Level
Combo Doubles
Lonestar
NTRP*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Please complete for all USTA teams on which you participate

LEAGUE(S)
Men's 18+ Adult League
Women's 18+ Weekday Adult League
Women's 18+ Weekend Adult League
Men's 40+ Adult League
Women's 40+ Weekday League
Women's 40+ Weekend League
55+ Adult League
65+ Adult League
18+ Mixed
40+ Mixed
55+ Mixed
Tri-Level
Combo Doubles
Lonestar
NTRP*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Please complete for all USTA teams on which you participate

LEAGUE(S)
Men's 18+ Adult League
Women's 18+ Weekday Adult League
Women's 18+ Weekend Adult League
Men's 40+ Adult League
Women's 40+ Weekday League
Women's 40+ Weekend League
55+ Adult League
65+ Adult League
18+ Mixed
40+ Mixed
55+ Mixed
Tri-Level
Combo Doubles
Lonestar
NTRP*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Please complete for all USTA teams on which you participate

LEAGUE(S)
Men's 18+ Adult League
Women's 18+ Weekday Adult League
Women's 18+ Weekend Adult League
Men's 40+ Adult League
Women's 40+ Weekday League
Women's 40+ Weekend League
55+ Adult League
65+ Adult League
18+ Mixed
40+ Mixed
55+ Mixed
Tri-Level
Combo Doubles
Lonestar
NTRP*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Please complete for all USTA teams on which you participate

LEAGUE(S)
Men's 18+ Adult League
Women's 18+ Weekday Adult League
Women's 18+ Weekend Adult League
Men's 40+ Adult League
Women's 40+ Weekday League
Women's 40+ Weekend League
55+ Adult League
65+ Adult League
18+ Mixed
40+ Mixed
55+ Mixed
Tri-Level
Combo Doubles
Lonestar
NTRP*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Please complete for all USTA teams on which you participate

LEAGUE(S)
Men's 18+ Adult League
Women's 18+ Weekday Adult League
Women's 18+ Weekend Adult League
Men's 40+ Adult League
Women's 40+ Weekday League
Women's 40+ Weekend League
55+ Adult League
65+ Adult League
18+ Mixed
40+ Mixed
55+ Mixed
Tri-Level
Combo Doubles
Lonestar
NTRP*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Please complete for all USTA teams on which you participate

LEAGUE(S)
Men's 18+ Adult League
Women's 18+ Weekday Adult League
Women's 18+ Weekend Adult League
Men's 40+ Adult League
Women's 40+ Weekday League
Women's 40+ Weekend League
55+ Adult League
65+ Adult League
18+ Mixed
40+ Mixed
55+ Mixed
Tri-Level
Combo Doubles
Lonestar
NTRP*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Please complete for all USTA teams on which you participate

LEAGUE(S)
Men's 18+ Adult League
Women's 18+ Weekday Adult League
Women's 18+ Weekend Adult League
Men's 40+ Adult League
Women's 40+ Weekday League
Women's 40+ Weekend League
55+ Adult League
65+ Adult League
18+ Mixed
40+ Mixed
55+ Mixed
Tri-Level
Combo Doubles
Lonestar
NTRP*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Please complete for all USTA teams on which you participate

LEAGUE(S)
Men's 18+ Adult League
Women's 18+ Weekday Adult League
Women's 18+ Weekend Adult League
Men's 40+ Adult League
Women's 40+ Weekday League
Women's 40+ Weekend League
55+ Adult League
65+ Adult League
18+ Mixed
40+ Mixed
55+ Mixed
Tri-Level
Combo Doubles
Lonestar
NTRP*
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Please complete for all USTA teams on which you participate

LEAGUE(S)
Men's 18+ Adult League
Women's 18+ Weekday Adult League
Women's 18+ Weekend Adult League
Men's 40+ Adult League
Women's 40+ Weekday League
Women's 40+ Weekend League
55+ Adult League
65+ Adult League
18+ Mixed
40+ Mixed
55+ Mixed
Tri-Level
Combo Doubles
Lonestar
NTRP*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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