Waiver – Heights Athletic Club

guest waiver

Guest Information

Guest Name(Required)

First Last

Guest Date of Birth(Required)

Phone(Required)

Email(Required)

Parent/Guardian Section

Complete this for all children under your care or supervision. You are both responsible for the behavior of those for whom you are the parent or guardian.

I am signing on behalf of the following children as their parent/guardian:

Child First Name

Child Last Name

Child Age

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Guest Age

Guest Type(Required)

Total

Member Information

The member named below will be charged on their account with Heights Athletic Club and will be responsible for payment within 30 days.

Member Name(Required)

First Last

Member Number

Member Email(Required)

Guest Waiver

WAIVER OF LIABILITY

I understand that any sporting or physical activity, including pickleball, presents a risk of injury. I hereby assume all risks of any injury that I may suffer as a result of participation in any activity sponsored by Heights Athletic Club, LLC (the "Club") and any activity whatsoever occurring on the premises of any facility that is in any way maintained by that Club or supervised by it. I hereby waive and release all claims or causes of actions that I may acquire against the Club, their officers, members, representatives, and agents from all liability to me resulting from any injury I may suffer as a consequence of any alleged negligence of any such entities or persons in connection with the sponsorship and conduct of any such event or the maintenance or supervision of any facility associated with the Club.

PHOTO RELEASE AND USE OF LIKENESS WAIVER

By attendance at reservations, events, or general use of the Club, the attendee grants the Club permission to use his/her likeness in a photograph and/or video in any and all publications and materials without payment or consideration made to them. The attendee realizes these photos and/or videos become the property of Club and will not be returned. The attendee authorizes Club to use, edit, copy, publish or exhibit any photo or video for any lawful purpose. The attendee waives the right to review any photo or video or to obtain royalties from the photo or video. Photos and videos will be taken throughout the day and some photographs/videos will be posted on our web site and newsletter. Please let the Club know if you do not wish to have your picture/video made public.

MISCELLANEOUS

There are no oral representations, warranties, agreements, or promises by the Club not set forth herein, and this instrument may be amended only by an instrument in writing signed by the Club.

Guest Signature(Required)

Guest Signed Date(Required)

Member Signature

Member Signature(Required)

Member Signed Date(Required)

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Guardian Signature

Guardian Name(Required)

First Last

Guardian Signature(Required)

Guardian Signed Date(Required)

Phone

This field is for validation purposes and should be left unchanged.