Safety Regulations, Health Declarations, Media Waiver Form

Please read and fill out the following form to acknowledge the safety regulations and to declare your health in order to participate in our activity.

First Name

Last Name

Participant Name

I hereby confirm that I have read and agree to all of the following terms

1. You attest that you will not send your child to practice if their temperature is above 100° F or if they have COVID-19 symptoms or other contagious ailments based on CDC guidelines. https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

2. You attest that if your child has displayed COVID-19 symptoms or other alarming symptoms, you will not allow them to return to practice until they have tested negative for COVID-19 or other ailments and provide a medical professional’s clearance; or at least 10 days have passed since the onset of symptoms, and at least 3 days (72 hours) have passed since recovery (no fever without the use of fever reducing medication).

3. Participants must bring enough water as drinking fountains will not be available

4. Participants may be video recorded and photographed during the lessons

5. Alex Nguyen Tennis may use videos and photographs for commercial needs - including, but not limited to: Fliers, Advertisements, Social Media Posts, Video Logs.

Date

Initials

I confirm that the information given in this form is true

I accept terms & conditions

Thanks for submitting!