AdvantageCLE Camp Registration

Please use this form to register for AdvantageCLE’s summer camp. Submitting this form does not guarantee a spot. Priority registration will be given to previous campers, current students in our afterschool program and tennis clinics, and Hough residents. We will notify you as soon as possible about your child’s placement in our camp. Please note that we are expecting students to attend on all days that you sign them up for, so that we can plan for activities.

Participant Information

Camp Dates by Week (Session 1)*
Camp Dates by Week (Session 2)*
Blue Group Week 1*
FREE
Blue Group Week 2*
FREE
Blue Group Week 3*
FREE
Blue Group Week 4*
FREE
Blue Group Week 5*
FREE
Blue Group Week 6*
FREE
Blue Group Week 7*
FREE
Blue Group Week 8*
FREE
Red Group Week 1*
FREE
Red Group Week 2*
FREE
Red Group Week 3*
FREE
Red Group Week 4*
FREE
Red Group Week 5*
FREE
Red Group Week 6*
FREE
Red Group Week 7*
FREE
Red Group Week 8*
FREE
Green Group Week 1*
FREE
Green Group Week 2*
FREE
Green Group Week 3*
FREE
Green Group Week 4*
FREE
Green Group Week 5*
FREE
Green Group Week 6*
FREE
Green Group Week 7*
FREE
Green Group Week 8*
FREE
Yellow Group Week 1*
FREE
Yellow Group Week 2*
FREE
Yellow Group Week 3*
FREE
Yellow Group Week 4*
FREE
Yellow Group Week 5*
FREE
Yellow Group Week 6*
FREE
Yellow Group Week 7*
FREE
Yellow Group Week 8*
FREE
Orange Group Week 1*
FREE
Orange Group Week 2*
FREE
Orange Group Week 3*
FREE
Orange Group Week 4*
FREE
Orange Group Week 5*
FREE
Orange Group Week 6*
FREE
Orange Group Week 7*
FREE
Orange Group Week 8*
FREE
Participant Name*
Participant Date of Birth*
Please list the grade in which the participant will be entering in Fall 2022
Participant Sex*
Address*
Is your child new to tennis?*
Does your child qualify for free or reduced lunch?*
Does your child have any of the following Medical Conditions? (check all that apply)
Does your child have any known allergies?*
Do you have health insurance for your child?*
Parent/Guardian Name*
Preferred contact method*
Doctor to Notify in Case of Emergency?*
Participant Emergency Contact*

Advantage Cleveland Tennis and Education, Inc.

RELEASE AND WAIVER OF LIABILITY

On behalf of myself and/or my child or minor participant named in the above application, the undersigned hereby:

1. ACKNOWLEDGES, WARRANTS, AND REPRESENTS that the participant is in good physical condition and able to participate in this program. I understand that this permission slip includes my permission for my child and/or minor participant to participate in all Advantage Cleveland Tennis and Education (hereinafter referred to as “AdvantageCLE”) program for the 2022 summer camp activities, including tennis practice, fitness activities, and educational sessions, as well as special events and field trips as provided throughout the summer. I give AdvantageCLE permission to collect my child’s or the minor participant’s grades, report card information, attendance, test information and other information from his/her school and school district. By signing I understand that I will be signed up for the Remind or GroupMe App, which will be used to communicate necessary information about AdvantageCLE programming. I understand I am able to opt out at any time.

2. AGREES TO RELEASE, INDEMNIFY, DEFEND, AND HOLD HARMLESS Advantage Cleveland Tennis and Education and Advantage Cleveland Tennis and Education’s officers, employees and associated personnel, volunteers, agents, members, sponsors, partners, affiliates, shareholders, directors, and owners of the facilities and courts used by Advantage Cleveland Tennis and Education (collectively, the “Advantage Cleveland Tennis and Education Releasees”) from and against any and all loss, liability, damage, claims, costs, and causes of action, whether known or unknown, or related to or caused by Covid-19, by or on behalf of myself and/or the minor participant arising from or in any way related to or connected with participation or presence in Advantage Cleveland Tennis and Education programming, clinics, or events.

3. ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH, PROPERTY DAMAGE, OR ANY OTHER PHYSICAL OR EMOTIONAL INJURY WHATSOEVER, due to the negligence of any of the Advantage Cleveland Tennis and Education Releasees.

4. EXPRESSLY AGREES that (i) the foregoing Release and Waiver of Liability extends to all acts of negligence by the Advantage Cleveland Tennis and Education Releasees, including but not limited to negligent rescue operations, negligent supervision, negligent retention, or negligent hiring; and

(ii) is intended to be as broad and inclusive as is permitted under the laws of the State of Ohio and that if any portion thereof is held invalid, the balance of the Release and Waiver of Liability shall continue in full legal force and effect.

5. Consent for Medical Treatment for Minor: In the event of a medical necessity or emergency, I hereby authorize the adult representative for Advantage Cleveland Tennis and Education to make any necessary arrangements for the proper medical care of the child or minor participant, and to give the required consents in connection therewith. I further authorize any medical, dental, and/or emergency personnel selected by such adult representative to secure and provide necessary and proper medical treatment for the care of my child/minor participant. I also give my consent for my child/minor participant to be transported by ambulance to an emergency center for treatment. I understand that I will be notified as soon as possible in the event that an emergency arises requiring medical assistance and I assume all financial responsibility for any medical treatment (including transportation) for my child/minor participant.


Advantage Cleveland Tennis and Education

PHOTO RELEASE FORM

I hereby grant Advantage Cleveland Tennis and Education permission to use my likeness or the likeness of my child or minor particiapant in a photograph, video, or other digital media (collectively, “Media”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all Media will become the property of Advantage Cleveland Tennis and Education and will not be returned.

I hereby irrevocably authorize the Advantage Cleveland Tennis and Education to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose via any medium, including but not limited to paper and electronic newsletters, social media accounts, and Advantage Cleveland Tennis and Education’s website. In addition, I waive (i) any right to inspect or approve the finished product wherein any Media featuring my likeness, or that of my child or minor participant, appears; and (ii) any right to royalties or other compensation arising or related to the use of any such Media.

I, on behalf of myself and/or the minor participant, hereby hold harmless, release, and forever discharge Advantage Cleveland Tennis and Education

and Advantage Cleveland Tennis and Education’s officers, employees and associated personnel, volunteers, agents, members, sponsors, partners, affiliates, shareholders, directors, and owners of the facilities and courts used by Advantage Cleveland Tennis and Education from all claims, demands, and causes of action, known or unknown, which I, the minor participant, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have arising from or relating to the use of any Media containing my and/or the minor participant’s likeness.

I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW. BY SIGNING BELOW, I VOLUNTARILY ACCEPT THESE TERMS:

I have read, and agree to, the terms of the Release and Waiver of Liability*
I have read, and agree to, the Photo Release Form*
Child Name*
Parent/Guardian Name*
Use your mouse or finger to draw your signature above
Date Signed

Please email Liz Deegan, Executive Director of AdvantageCLE Tennis & Education with questions or concerns at ldeegan@advantagecle.org.