O'Toole House Pickleball Waiver

Created by Ken O'Toole
May 8, 2017

O’TOOLE HOUSE PICKLEBALL Waiver of Liability and Release Form
This form must be completed for each active participant in the O’Toole House Pickleball league. soccer player (participant). No player will be allowed to participate in O’Toole House Pickleball league or O’Toole House Pickleball tournament games without this form, properly executed, and on file.

PARTICIPANT’S NAME (type or print): _______________________________
PARTICIPANT’S DATE OF BIRTH (mm/dd/yyyy): _______________________

I, the undersigned, in consideration for my voluntary participation in organized pickleball, do hereby willfully acknowledge that my signature below attests to my understanding and agreement that:

My player status will be kept in good standing. I will not compromise myself in such a way as to do harm to the league or tournament, knowing that players may be dismissed from participation, for violent conduct or unsportsmanlike behavior on or off the court of play. I agree to pay for any and all damages to any property or indemnities caused by me willfully, negligently, or otherwise.

Pickleball is a physical, non-contact, sport that involves the risk of injury. I assume all risks and hazards associated with my participation in the sport. I am in proper physical condition to participate in pickleball practices and games and have no illness, disease or existing injury or physical defect that would be aggravated by my participation. I will inform the league president if this status changes.
The league or tournament does not have personal injury insurance that covers my participation. Therefore, I should have a current, active, personal injury insurance policy in force, which covers my participation. Under any condition, I am responsible for any and all medical expenses arising from my participation, both in practices and games and while travelling to and from these events. I have the right and responsibility to inspect the equipment and facilities prior to events and, if I believe that anything may be unsafe, I will advise the league president or supervisor of the condition and may refuse to participate. Participation assumes consent.
I authorize my photograph, picture or likeness, and voice to appear in any documentary, promotion (including advertising), television, video, or radio coverage of the league or tournament, without compensation.
I hereby release, waive liability, discharge, hold harmless, indemnify, and covenant not to sue the league and tournament, their associated directors, administrators, officers, managers, employees, coaches, trainers, volunteers, sponsors and advertisers, and other agents, estates or executors, from any and all liability incurred in the conduct of, and my participation in, their soccer programs. This includes owners, lessors, and lessees of premises, municipalities, government agencies, successors, heirs, and assigns.

I have completely read this document and fully understand its contents. I acknowledge that I have given up substantial rights by accepting this document and that I do so voluntarily. My signature attests to this on behalf of myself and my executors, personal representatives, administrators, heirs, next-of-kin, successors, and assigns.


Participant’s Name (PRINT) Participant’s Signature Date Signed