Player InformationPlayer's Name* Parent/Guardian #1 Name* Parent/Guardian #2 Name Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent's Email* Parent's Cell Phone*Player DetailsPlayer's Gender*MaleFemalePlayer's Date of Birth* Age*Player Rankings (if applicable)StateSouthernNationalPlease check the training week(s) or monthly training by # of sessions per week:Training Weeks Requested: May 28-June 1 July 2-6 June 4-8 July 9-13 June 11-15 July 16-20 June 18-22 July 23-27 June 25-29 Check all weeks you wish your child to attend. You can add more later if you wish. Camp TypeFull Day CampHalf Day Camp Training Sessions Requested - JUNE:1 session/per week2 sessions/per week3 sessions/per week4 sessions/per week5 sessions/per week6 sessions/per week7 sessions/per week8 sessions/per week9 sessions/per weekTraining Sessions Requested - JULY:1 session/per week2 sessions/per week3 sessions/per week4 sessions/per week5 sessions/per week6 sessions/per week7 sessions/per week8 sessions/per week9 sessions/per weekHamilton Mill Community AssociationAre you a resident of Hamilton Mill?*YesNo Since you are not a resident of Hamilton Mill, you must sign the "Hamilton Mill Community Association, Inc. Participant Release and Waiver of All Liability". Hamilton Mill Community Association, Inc. Participant Release and Waiver of all Liability In consideration for being permitted by Hamilton Mill Community Association, Inc. (the “Association”) to use its tennis courts and related common facilities in the Hamilton Mill Community in Gwinnett County, Georgia (the “Facilities”), I agree to personally assume the risk of use of the Facilities and all tennis and related activities thereon and unconditionally release, hold harmless and indemnify the Association, its officers, directors, agents, employees and members from and against any and all claims for injury, damage, or loss sustained by me or my minor children which may accrue or arise out of my use or my child’s use of the Facilities and all tennis and related activities thereon including, but not limited to, any and all claims for negligence, personal injury, wrongful death, property damage, attorney’s fees, litigation costs or money damages of any kind which I may bring individually or which claims may be brought by my personal representative(s) or assignee(s), or which claims my minor children or their personal representative(s) or assignee(s) may bring. By signing below, I stipulate and agree that I am signing and entering into this contractual agreement voluntarily and of my own free will. By signing below, I also represent and affirm to the Association that I am not aware of any condition, whether physical or mental, which may prohibit me form engaging in tennis or related activities. By signing below, I additionally represent and affirm that I have had an opportunity to inspect the Facilities and agree to abide by all rules, regulations and policies of the Association when engaging in use of the Facilities. This document shall be governed by and construed in accordance with the laws of the State of Georgia. Electronic Signature - Type Parent's Name to Agree to Participant Release and Waiver of All Liability* Medical ReleaseInsurance Company NamePolicy NumberCompany Phone NumberHealth Information: List any allergies, regular medications, or any other physical disorders that might interfere with your child’s active participation:PaymentPayment can be made by check or paid secure online link. Please select an option:*CheckSecure Online LinkPlease make check payable to “Kemp Performance Tennis, LLC” and bring it before your start date. You can also pay online through your invoice. Invoice will be sent to you via E-mail after you submit your Summer Training Sign Up form online. *Training Fees have to be paid before your starting day.I understand that I will be notified in the event of an accident, illness, or medical emergency. In the event that I cannot be reached by telephone, I authorize any medical treatment (x-rays, examinations, prescription drugs, etc.) deemed necessary by licensed physician for my child. I accept my child’s responsibility and obligation for any and all room property damages or loss of valuables. I certify that my child is amenable to reasonable discipline and is free from habits that would make him/her an undesirable camper. In the event of dismissal or withdrawal on account of homesickness, misconduct, or any other, except an illness requiring the attention of a physician, no financial credits will be made. The undersigned hereby releases and holds harmless Kemp Performance Tennis, LLC and their respective shareholders, affiliates, subsidiaries, employees, directors and attorneys (collectively the “Releasees”) from and against any and all loss, illness, injury, accident or death to the child traveling to and from, or participating in any activity with Kemp Performance Tennis, LLC, junior camp programs, tournaments, or any other program or activity associated with or conducted by Kemp Performance Tennis, LLC. I give Kemp Performance Tennis,LLC permission to use any photos and/or similar promotional materials of my child in their advertising.Electronic Signature - Type Parent's Name to Agree to Terms & Medical Release*Emergency Contact NameRelationship to PlayerEmergency Contact Home Phone*Emergency Contact Cell Phone*Today's Date (agreed to Terms and Release)* NameThis field is for validation purposes and should be left unchanged. 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