top of page
Profile

First Name:

Date Of Birth

Current Rating:

Email:

Address:

State:

Emergency Contact:

First Name

DOB

Rating

Email

Address

State

Emergency Contact

Last Name:

Gender:

USAPA #:

Phone:

City:

Zip:

Emergency Phone:

Last Name

Gender

USAPA

Phone

City

Zip

Emergency Phone

RELEASE, PERMISSION, AND INDEMNITY AGREEMENT

Waiver.  In consideration of being permitted to participate in any way in the tournament, I, for myself, my heirs or assigns, do hereby release, waive, discharge and covenant not to sue [name of entity sponsoring tournament and/or facility where the tournament is being held], its/their officers, employees and agents from liability from any and all claims resulting in personal injuries, accidents or illnesses (including death) and property loss arising from my participation in the Tournament.

Assumption of Risk.  Participation in the tournament carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries.  The specific risks vary, but include 1) minor injuries such as bruises, sprains and dehydration, 2) major injuries such as eye injuries, joint, bone or back injuries, heat stroke, heart attacks, and concussions, and 3) catastrophic injuries such as paralysis and death.  I have read the previous paragraphs and I know, understand and appreciate these and other risks that are inherent in playing pickleball.  I assert that my participation is voluntary and that I knowingly assume all such risks.

Indemnification and Hold Harmless.  I also agree to indemnify and hold the tournament [add others as desired] harmless from any and all claims, actions, suits, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in the Tournament.

Use Permission.  I also give the tournament and its agents and designee's permission to use or distribute, without limitation or obligation, my image, name, voice, and words for any purpose connected with the Tournament, including promotional, marketing, training, informational, and archival uses.

Event Cost

Please fill in all the required fields

Submit & Proceed to Payment
bottom of page