Please provide accurate medical information to help us ensure your child's safety during tennis activities. All information is kept confidential and shared only with coaching staff on a need-to-know basis.

Medical Conditions

Physical Limitations

MEDICAL TREATMENT AUTHORIZATION AND CONSENT

I, the undersigned parent or legal guardian of the minor participant named in this registration ("Participant"), hereby authorize Stoneybrook Country Club and South Sarasota Summer Tennis Camps, LLC, coaches, instructors, and staff ("Authorized Personnel") to act on my behalf in matters concerning the health and safety of Participant during tennis activities.

EMERGENCY MEDICAL TREATMENT

In the event of a medical emergency, injury, or illness involving Participant, I authorize Authorized Personnel to:

- Administer basic first aid

- Contact emergency medical services (911)

- Arrange for transportation to the nearest appropriate medical facility

- Consent to emergency medical treatment, including but not limited to diagnostic testing, medical or surgical procedures, and administration of medications deemed necessary by licensed medical professionals when I cannot be reached in a timely manner

EMERGENCY CONTACT EFFORTS

I understand that Authorized Personnel will make reasonable efforts to contact me or my designated emergency contact before seeking medical treatment. However, if I cannot be reached and a delay in treatment could be harmful to Participant, I authorize Authorized Personnel to consent to treatment on my behalf.

FINANCIAL RESPONSIBILITY

I understand and agree that I am financially responsible for any and all costs associated with medical treatment, ambulance transportation, hospital stays, and any other related expenses incurred on behalf of Participant.

MEDICAL INFORMATION DISCLOSURE

I authorize Authorized Personnel to disclose the medical information provided in this registration to emergency medical personnel, hospital staff, or other healthcare providers as necessary for the treatment of Participant.

Stoneybrook Summer Tennis Camp
June 1 – July 31, 2026

Participant Authorization
I, the undersigned parent or legal guardian, grant permission to Stoneybrook Country Club and South Sarasota Summer Tennis Camps, LLC to photograph, video record, and capture images of my child during camp activities.

I authorize the use of these images and recordings for the following purposes:

• Website and social media (Facebook, Instagram, etc.)

• Club website, newsletters, and marketing materials

• Camp promotional materials, flyers, and advertisements

• Internal training and educational use

• Press releases and media coverage

Acknowledgment
I understand that:

• My child’s full name will not be used in connection with any photo or video without additional written consent

• Images may be edited, cropped, or combined with other content at the discretion of Stoneybrook Country Club and South Sarasota Summer Tennis Camps, LLC

• No financial compensation will be provided for use of these images

• This release remains in effect unless revoked in writing

LIABILITY WAIVER, RELEASE, AND ASSUMPTION OF RISK

I, the undersigned parent or legal guardian of the minor participant named in this registration (“Participant”), hereby acknowledge and agree to the following:

ASSUMPTION OF RISK

I understand that participation in tennis instruction, camps, clinics, and related activities (“Activities”) offered by Stoneybrook Country Club and South Sarasota Summer Tennis Camps, LLC involves inherent risks, including but not limited to:

• Sprains, strains, fractures, and other musculoskeletal injuries

• Cuts, bruises, and abrasions

• Heat-related illness including heat exhaustion and heat stroke

• Dehydration

• Impact from tennis balls, racquets, or other equipment

• Collisions with other participants, nets, fences, or court surfaces

• Injuries resulting from slips, trips, and falls

• Exposure to outdoor elements including sun, wind, rain, and insects

• Aggravation of pre-existing conditions

I voluntarily assume all risks associated with Participant’s involvement in these Activities, whether known or unknown, foreseeable or unforeseeable.

RELEASE AND WAIVER OF LIABILITY

In consideration of Participant being permitted to participate in Activities, I, on behalf of myself, Participant, and our respective heirs, assigns, and personal representatives, hereby release, waive, discharge, and covenant not to sue Stoneybrook Country Club and South Sarasota Summer Tennis Camps, LLC, its owner Michael Hodge, coaches, instructors, employees, volunteers, agents, and any facility owners or operators where Activities take place (collectively, “Released Parties”) from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury, including death, that may be sustained by Participant while participating in Activities, or while on or upon the premises where Activities are conducted.

INDEMNIFICATION

I agree to indemnify, defend, and hold harmless the Released Parties from any and all claims, suits, losses, damages, costs, and expenses (including reasonable attorney’s fees) arising from or related to Participant’s participation in Activities or any breach of this Agreement.

ACKNOWLEDGMENT

I have read this Liability Waiver, Release, and Assumption of Risk in its entirety. I fully understand its terms and understand that I am giving up substantial legal rights, including the right to sue. I acknowledge that I am signing this Agreement freely and voluntarily, and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

By checking this box, I acknowledge that I am the parent or legal guardian of the Participant and that I agree to all terms of this Liability Waiver, Release, and Assumption of Risk on behalf of myself and the Participant.