top of page

GMCC Release and Registration

GMCC (GREEN MEADOW COUNTRY CLUB) ACKNOWLEDGMENT AND RELEASE

I, the undersigned Participant and/or Parent/Guardian, provide this Consent, Acknowledgment and Release to Green Meadow Country Club, (“GMCC”) freely, voluntarily, and without duress, and intend for it to be effective immediately, on the following terms:

CONSENT, GENERAL RELEASE, INDEMNIFICATION AND HOLD HARMLESS: 

I acknowledge the risks involved in athletic participation, including any tennis program or event (including practice) recognized, sanctioned, sponsored or conducted by GMCC (collectively, an “GMCC Event”), and acknowledge that such activities (including travel thereto) have inherent dangers that no amount of care, caution, instruction or expertise can eliminate. I acknowledge that the requirements, directions and standards set by GMCC are established for me and my child’s benefit. I understand that serious injury, and even death, is possible in such participation and choose to accept any and all responsibility for our safety and welfare while participating in an GMCC Event and related transportation. With a full understanding of the risks involved, I hereby give Consent for me and my child to participate in all GMCC Events, including all related transportation. I hereby release and hold harmless GMCC, its officers, members, employees, instructors, volunteers, agents, independent contractors, and/or others acting on its behalf, and the City of Knoxville, Recreation and Parks, its officers, employees, instructors, volunteers, and/or others acting on its behalf (collectively, the “Released Parties”) from any and all responsibility and liability for any injury or claim resulting from athletic participation in an GMCC Event or any travel associated therewith, and agree to take no action against the Released Parties because of any accident or mishap involving my child. I further expressly understand and agree that the foregoing is intended to be as broad and inclusive as permitted by the law of the State of Tennessee and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full force and effect.

MEDICAL RELEASE: I hereby indicate that my child and I have no medical condition that will prevent us from participating in an GMCC Event. I authorize emergency medical treatment for my child and I should the need arise for such treatment while we are under the supervision of GMCC. I further hereby authorize the use or disclosure of me and my child’s health information should treatment for illness or injury become necessary.

INSURANCE: My child and I are covered by our family health insurance plan. I acknowledge that GMCC does not carry insurance to cover injuries and losses that may occur during an GMCC Event or during my child’s travel to, from and during an GMCC Event.

PHOTOGRAPHIC RELEASE: I grant the Released Parties the right to photograph and/or videotape my child and I and further to use our name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, promotional and commercial materials without reservation or limitation. The Released Parties, however, are under no obligation to exercise such rights.

HAVING READ, UNDERSTOOD, AGREED WITH, AND ACCEPTED THESE TERMS,
I HAVE EXECUTED THIS DOCUMENT, TO BE EFFECTIVE IMMEDIATELY.

Confirm and Signature

Confirmation: I have read the above text BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Make it easy and save time. Sign up for your lesson/event online. We need your release form signed and payment before starting all lessons and clinics.

1-Use our online registration and release form. Or print out and mail/hand deliver the GMCC Tennis release form:

2- Pre-pay by mailing a check or make a payment online by credit card.

Mail check and registration to:
Alan Brogan
197 Gum Hollow Road
Oak Ridge, TN 37830

Participants Name

Parent or Guardians Name

Childs Name

Chiilds Age

Additional Children's Name/Age

Address 

Telephone

Select Clinic or Event

Select Camp Shirt Size

Email Address

Your content has been submitted

bottom of page