Tri-City Fitness Winter League
2021 Tri-City Fitness Winter League

First Name*
Last Name*
Email Address*
Primary Phone* 555-555-5555
Primary Phone Type*
Birth Date* mm/dd/yyyy
NTRP Rating*
Is this a self rating or a USTA rating?*
USTA Member*
I am signing up as:*
Are you a member of the Facility?*
Have you ever played WTT before?*
How did you hear about us?
Release Statement I understand that my registration is not complete until I've paid the $20 registration fee through the next screen. PayPal offers the option to pay with a debit or credit card. There is no need to establish a PayPal account. I also understand that self-rated players, and players with expired USTA ratings must have a WTT Player History Form on file with Tri-City Fitness, Inc.. The online form can be found at: I understand that the risk of serious injury from playing tennis is always present due to the nature of the sport and I knowingly and voluntarily assume all risk of such injury. By registering, I agree to release Tri-City Fitness, Inc. from all liability relating to injuries that may occur while playing tennis. I agree to hold Tri-City Fitness, Inc. entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence. Regarding COVID-19, I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing. I further acknowledge that Tri-City Fitness, INC has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I further acknowledge that Tri-City Fitness, INC can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, and other clients and their families. I voluntarily seek services provided by Tri-City Fitness, INC and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while at Tri-City Fitness, INC. I attest that: * I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell. * I have not traveled internationally within the last 14 days. * I have not traveled to a highly impacted area within the United States of America in the last 14 days. * I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19. * I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities. * I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19. I hereby release and agree to hold Tri-City Fitness, INC harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of Tri-City, or that may otherwise arise in any way in connection with connection to Tri-City Fitness, INC. I understand that this release discharges Tri-City Fitness, INC from any liability or claim that I, my heirs, or any personal representatives may have against the club with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Tri-City Fitness, INC. This liability waiver and release extends to the club together with all owners, partners, and employees.
Do you agree?*