I am requesting that the named participant be admitted to Junior Tennis and I understand the nature and scope of the clinics listed above and will adhere to all policies of the clinics. I understand that there are risks and dangers associated with the Junior Tennis clinics. I understand that it is not the function of the Woodlake Swim & Racquet Club, its employees, agents, operators, or instructors to guarantee the safety of participants with respect to clinics. I also understand that each participant has the responsibility to exercise due care in the performance of Junior Tennis activities for the safety of himself/herself and the other participants.

I furthermore understand that a medical form must be filled out, signed and be submitted with the registration form in order for a child to attend. In the event that I cannot be reached in an emergency involving the above named participant, I hereby give permission to the appropriate medical personnel, selected by Woodlake Personnel, to provide medical treatment deemed necessary by such personnel. Also, if I enroll my child in an event that will need transportation, my signature below signifies that I give permission for my child to be transported from the Junior Tennis clinics to the appropriate destination via van. Woodlake will provide notice the day prior to an event needing transportation, I will then have the opportunity to withdraw my child from such an event.

In consideration of the participants being permitted to enroll in Junior Tennis, I hereby release, indemnify, and hold harmless Woodlake Swim & Racquet Club, its employees, operators, counselors, and instructors from any and all claims and demands, costs, charges, and expenses for harm, injury, damage, or loss which may be sustained by the participant as a result of or relating to participation in Junior Tennis.

A $50.00 cancellation fee will be charged for any cancellation within two weeks of the registered clinic date for each clinic registered for.

I understand and agree that strict observance of the facilities rules and guidelines is required while utilizing Woodlake’s Swim and Racquet Club as well and Woodlake’s Aquatics and Fitness Center located 14710 Village Square Place. Midlothian, VA 23112 and 5000 Woodlake Village Parkway Midlothian, VA 23112

The undersigned acknowledges and agrees that his/her use of the Woodlake Swim & Racquet Club (“WSRC”) facilities and/or participation in programs and courses is at his/her sole risk of injury or death. The undersigned also acknowledges and agrees he/she is responsible for making sure he/she has the knowledge and ability necessary to utilize WSRC equipment and facilities safely. The undersigned agrees to only utilize equipment and portions of the WSRC facility that he/she can utilize safely, and acknowledges that not all equipment, programs or courses may be safe for his/her use, depending on age, size, health, maturity, swimming ability, and other considerations. The undersigned also acknowledges and agrees to be responsible for making sure his/her family members and guests safely utilize the facility and equipment, and assumes the risk of any injury or death to his/her family members or guests. The undersigned also acknowledges and agrees that personal injury may result despite the best intentions of WSRC and even if WSRC takes adequate precautions, because the use of WSRC facilities and participation in its programs and courses is inherently dangerous. Despite this fact, the undersigned expressly assumes the risk of all injury or death to him/herself and his/her family members and guests. Finally, the undersigned acknowledges and agrees that WSRC and its owners, managers, instructors, operators, employees and contractors shall not be responsible for, and are hereby released from, any liability or claim related to any activity falling within the scope of this assumption of risk, and acknowledges and agrees that WSRC assumes no responsibility for injuries or illness which he/she may sustain while using WSRC facilities and/or participating in programs or courses.

I hereby authorize the Woodlake Community Association (WCA) and/or the Woodlake Swim and Racquet Club (WSRC) to use, reproduce, and/or publish photographs and/or video that may contain my image, likeness, or voice, without compensation. I authorize the WCA and/or WSRC, its assignees and transferees to copyright, use and publish this material for various publications, public affair releases, sales materials, broadcasting events, advertisements, and other related endeavors, and I agree that the WCA and/or WSRC may use the likenesses of me for any lawful purpose, including, but not limited to, illustration/print, advertising, radio, television and web content.

This authorization is continuous and may only be withdrawn by my specific request, in writing, to the WCA and/or WSRC with thirty (30) days notice prior to any scheduled printing or release of materials.