Player Info


Medical Information

  • Registrant has known physical disability or illness which might interfere with their participation in strenuous activity

  • Registrant has severe allergies or reactions to drugs or medicines.

  • Registrant has emotional/social disabilities that would be helpful for us to be aware of.



Parent/Guardian Info (only complete if you are not the Player)


Terms (Agreement & Release of Liability)

Western Kenosha County Tennis Association (WKCTA)
Agreement & Release of Liability

In consideration of being allowed to participate in the activities and programs of WKCTA's 2025 programs and to use its facilities and equipment, I do herby for the player I have registered to play in the program, myself, my heirs, executors and administrators, waive, release and forever discharge WKCTA its' employees, volunteers and agents, from any causes of action, claims, liabilities or demands of any nature whatsoever, including but not limited to a claim of negligence for personal injury, bodily injury, property damage, death or accident of any kind arising out of or in any way relating to my participation in activities or programs, and/or use of equipment of facilities in WKCTA's 2025 Summer Program, whether by the negligence of WKCTA or otherwise. I further agree not to sue and agree to indemnify and hold harmless WKCTA from any and all causes of action, claims, demands, losses or costs, including attorneys' fees or any nature whatsoever arising out of or in any way relating to my participant in activities or programs, and/or use of equipment or facilities in the WKCTA's 2025 Summer Program.

I understand and am aware that strength, flexibility and aerobic exercises, including tennis and pickleball are potentially hazardous activities. I also understand that physical fitness activities involve a risk up to and including death and that I am voluntarily participating in these activities and using equipment and facilities with knowledge of the dangers involved. I do herby declare that I or my registered player do not pose a significant risk to my or others health and safety in my pursuit of physical activity in WKCTA's 2025 Summer Program, including use of equipment and/or facilities and or participation in activities or programs. I acknowledge that I or my registered player have either had a physical examination and have been given my physician's permission to participate or that I or my registered player have decided to participate in activity and/or use of equipment and facilities without the approval of my physician; in either case, I do herby voluntarily assume all risks and responsibility for my/their participation in activities and utilization of equipment and facilities. I or my registered player agree to limit my participation to reflect my personal fitness level. I herby agree to expressly assume and accept any and all risk of injury and or death. I further agree that if I or my registered player do not act in accordance with this agreement and with the rules and regulations governing WKCTA's 2025 Summer Tennis Program. I or my registered player, may not be permitted to continue to use the facilities or participate in any activities or programs.

I hereby consent to and permit emergency treatment in the event of illness or injury while using the equipment or facilities and /or while participating in WKCTA's 2025 Summer Tennis Program.

My signature below indicates that I have read, understand, and freely signed this agreement. I further certify that I am at least eighteen years of age, or if under eighteen years of age, my parent or legal guardian has signed on my behalf, and that I am otherwise legally competent to sign the agreement. I further understand that the terms of this agreement are legally binding. This agreement shall be construed and enforced in accordance with the laws of the State of Wisconsin, and I consent to the jurisdiction of said state. If any portion of this agreement is held invalid, it is agreed that the balance shall continue in full legal force and effect.

I have read and understand the above provisions and agree to be bound by them, as indicated by my signature below.

Emergency Contact Info

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