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Date of Birth * | Place of Birth | ||||||
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Gender * | Plays | LH RH |
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ID |
In consideration of the permission granted to me __________________________________________________ (Member Name) by Guam National Tennis Federation (GNTF), Guam National Tennis Center (GNTC), Government of Guam, Guahan.com, Dimension Systems, Inc., any and all facilities utilized by GNTF events or program and / or its affiliate organizations to participate in GNTF activities. I hereby release and discharge GNTF, GNTC, Government of Guam, Guahan.com, Dimension Systems, Inc., all facilities utilized by GNTF, it's clubs, representatives, officials, coaches, agents, employees, officers, successors, sponsors, and assigns, from all claims, demands, actions, judgments, and executions, which the undersigned ever had, now has, or may have, for which the undersigned heirs, executors, administrators, or assigns, may have or claim to have against GNTF, GNTC, Government of Guam, Guahan.com, Dimension Systems, Inc., all facilities utilized by GNTF, it's representatives, officials, coaches, agents, employees, officers, successors, sponsors, and assigns, for all personal injuries, whether known or unknown, cause by or arising out of, GNTF sponsored sport activities. Further, in case of a medical emergency, I cannot be contacted; I hereby authorized personnel associated with GNTF or GNTC to render first aid and/or transport me / my child to a hospital or emergency medical facility for treatment. Additionally, I grant GNTF, its representatives, officials, coaches, agents, employees, officers, successors, sponsors to insert pictures of myself, my child/ren, or ward in our website and other promotional material not limited to any form of media related to the sport of tennis. These photos may be images of child/ren, ward or myself.
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Member Signature
Member Signature
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Date
Date