Pickleball Registration - DuBois YMCA

June 11th, 10am - 1PM at DuBois City Tennis Courts

ATHLETIC PARTICIPATION WAIVER, CONSENT & RELEASE FORM

PICKLEBALL BALL TOURNEMENT

DUBOIS YMCA

CITY OF DUBOIS

DUBOIS VOLUNTEER FIRE DEPARTMENT

June 2022

I hereby acknowledge that there are inherent risks associated and accompanied with the above stated sport/activity and that I or my child (if participating) may be injured as a result of an accident arising out of participation in the named activity.

In consideration for permitting the individual named above to participate in the event, I agree and release and hold harmless the organizations name above and /or its employees, volunteers, administrators, et al., from any and all liability including, but not limited to, liability for injuries or damages sustained by the individual.