ATPC Guest Information and Waiver

Guest Information and Waiver

YMCA Arlington Tennis & Pickleball Center
The mission of the YMCA of Metropolitan Washington is to foster the spiritual, mental and physical development of individuals, families and communities according to the ideals of inclusiveness, equality and mutual respect for all.
WELCOME!

Thank you for visiting YMCA Arlington Tennis & Pickleball Center. Please sign the guest waiver and complete the information requested below. When complete, please provide your photo identification to the staff at the front desk.

Is this waiver for a minor (i.e., under 18 years of age)?

MINOR GUEST INFORMATION
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.
Minor's Name

First NameLast Name
Minor's Date of Birth

MonthDayYear
Date
Minor's Gender Identification
Parent or Guardian's Name

First NameLast Name
Parent or Guardian's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent or Guardian's Date of Birth

MonthDayYear
Date
Parent or Guardian's Email Address

Confirmation Emailexample@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent or Guardian's Signature

ADULT GUEST INFORMATION
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
Gender Identification
Email Address

Confirmation Emailexample@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact

First NameLast Name
Emergency Contact's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

WAIVERS
Date

MonthDayYear
Date
RELEASE OF LIABILITY - GUEST WAIVER FORM

I expressly acknowledge that there are certain dangers, risks, illnesses, personal injuries and death inherent in attending and/or participating in the YMCA's programs, events, classes, and any other activities (including, but not limited to pickleball, tennis, individual exercise, strength training, group exercise, sports, challenges, competitions, horseback riding, self-defense, archery, field trips, waterfront and pool activities, canoeing/boating, campfires, hiking, high ropes and other challenge courses) at and/or sponsored by the YMCA, which may result from falls; accidents or injuries; negligence of any person or organization; my participation in the programs, events, classes and any other activities; the weather and related condition of the courts/property; the state of any facilities and equipment; or from my or my minor child(ren)'s or ward(s)' physical condition (collectively, the "Activities"). I understand that the YMCA, and it's employees, agents, counselors, teachers, trainers, representatives, successors and assigns (collectively "Released Parties") assume no responsibility for loss, damage, illness, injury, or death to person or property that I or my minor child(ren) and ward(s), if applicable, may sustain arising out of, resulting from or in any way connected with the Activities, including by reason of the active or passive negligence of any of the Released Parties. I expressly acknowledge, on behalf of myself and my minor child(ren) and ward(s), heirs and executors, that I voluntarily assume the sole risk for any and all losses, damages, illnesses, personal injuries or death that may result from my or my minor child(ren)s’ or ward(s) Activities at and/or sponsored by the YMCA. In consideration of the Released Parties allowing me and/or my minor child(ren) or ward(s) to attend and/or participate in the Activities, I hereby, for myself, my minor child(ren) or ward(s), heirs and executors, waive, release, and forever discharge the Released Parties from and against any and all rights and claims for any loss, damage, illness, injuries or death to person or property sustained arising out of, resulting from or in any way connected with the Activities, whether or not such loss, damage, illness, injury or death results from the negligence of the Released Parties or from some other cause. Guests must adhere to the YMCA Code of Conduct and all policies of the YMCA of Metropolitain Washington.

I have read the Waiver Form and agree with all Terms and Conditions stated above on the date fo this visit and for all future visits to YMCA Arlington Tennis & Pickleball Center.
Release of Liability - Guest Waiver Form
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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Guest Information and Waiver

MINOR GUEST INFORMATION

ADULT GUEST INFORMATION

WAIVERS