Plum Hollow Tennis, 2021
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Name of parent or guardian
I am a parent or guardian of all minors referenced on this form.
I hereby certify that the above named particpant has my approval to participate in activities conducted by First Serve LLC & Plum Hollow Country Club (PHCC) for this year and subsequent years, unless I give written notice to the contrary. I understand and agree that the First Serve LLC & PHCC and its employees and agents assume no responsibility of liability for any accident or injury as a result of any aspect of participation in activities. I understand and acknowledge that participation in activities creates the potential for receiving an injury. With the knowledge of this potential risk of injury, I am giving the above named child permission to participate and accept full responsibility for this decision. I am the parent or guardian of the child. In the event of an injury, permission is hereby granted to First Serve LLC & PHCC representatives to render, secure, and/or authorize necessary medical treatment without further authorization from me. I understand that medical expenses for injuries will not be paid by First Serve LLC or PHCC. *
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