2024 USTA SC JV Girls State Invitational Consent and Waiver Form

Please complete a separate form for each child who will participate in the JV Girls State Championship.

Child's Name*

First NameLast Name

Parent or Guardian Name*

First NameLast Name

Parent or Guardian E-mail Address*

Head Coach's Name

First NameLast Name

Head Coach's Email Address

High School*

Does this child have a food allergy? If so, please list all.*

If no allergies, please enter No.

Media Release: I hereby give USTA South Carolina and their representatives the irrevocable right to use my child's name, picture, photograph, or other likeness in all forms and media, and in all manners. This includes but is not limited to print and the web. I waive the right to inspect or approve the finished version(s), including any written copy that may accompany it.

Media Consent*

I accept the above consent as written; checking this box serves as my legal signatureI decline any form of media to be used by USTA

Medical Release: I hereby consent to emergency first aid and other medical procedures, or hospital service that may be rendered by or at accredited hospitals, by appointed physicians, which at the time of injury or illness seem reasonably advisable. I further understand that I will be responsible for payment of any such medical procedures.

Medical Consent*

I accept the above consent as written; checking this box serves as my legal signature

Waiver and Indemnity Agreement: In consideration of my participation in these tennis activities, I the undersigned, agree to be legally bound, hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the United States Tennis Association (USTA), the host facility and any and all sponsors and their representatives, successors, and assigns for any and all injuries suffered by the above listed child in said event. I have read and understand the foregoing releases, waivers and indemnity agreement.

Waiver and Indemnity Consent*

I accept the above consent as written; checking this box serves as my legal signature

Important Notes:

Courts will be pre-assigned before the tournament begins. Once the tournament begins, we will not move matches from their originally assigned courts.