
Date & Time: Dec. 2nd Saturday, 9am & Dec. 3rd Sunday 1:30pm
Address: 530 Central Manor Road, Lancaster, PA 17603
Contact us: (717) 330-6857 (James Martin) / 717-953-6958 (Jim Starr) or info.manorttc@gmail.com
Registration: $5 per event by Nov. 30, Late Registration $7 per event.
Address: 530 Central Manor Road, Lancaster, PA 17603
Contact us: (717) 330-6857 (James Martin) / 717-953-6958 (Jim Starr) or info.manorttc@gmail.com
Registration: $5 per event by Nov. 30, Late Registration $7 per event.
Mail In Registration Form |
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Online Pay Pal Payment per Event
Payments will show up payable to "Jim Starr Illustration" Pay Pal account
MANOR TABLE TENNIS CLUB
Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement
(“Agreement”)
Tournament: South Central PA Holiday Table Tennis Tournament, Date: Dec. 2nd & 3rd, 2017
Tournament Director: Jim Starr, Eric Hine, Jonah Lin
1. IN CONSIDERATION of being permitted to participate in any way in MANOR Table Tennis non-sanctioned events, I
and/or my minor child, our personal representatives, assigns, heirs, and next of kin:
2. ACKNOWLEDGE, agree, and represent that I and/or my minor understand the nature of Table Tennis Activities and
that I and/or my minor child are qualified, in good health, and in proper physical condition to participate in suchActivity. I further agree that if at any time I believe conditions or equipment to be unsafe, I and/or my minor child will
immediately discontinue further participation in the Activity.
3. FULLY UNDERSTAND that (a) TABLE TENNIS ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY,
INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH, HARASSMENT, EXPOSURE TO INAPPROPRIATE CONDUCT
AND LANGUAGE ("RISKS"); (b) these Risks and dangers may be caused by me and/or my child's own actions, or
inaction, or the actions or inaction of others participating in the Activity, the condition in which the Activity takes
place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISKS AND SEVERE SOCIAL
AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND
ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I and/or my minor child incur
as a result of my participation in the Activity.
4. HEREBY ACCEPT AND ASSUME ALL SUCH RISKS, KNOWN AND UNKNOWN, AND ASSUME ALL RESPONSIBILITY FOR
THE LOSSES, COSTS, AND/OR DAMAGES FOLLOWING SUCH INJURY, DISABILITY, PARALYSIS, OR DEATH, EVEN IF CAUSED,
IN WHOLE OR IN PART, BY THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW;
5. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE MANOR TABLE TENNIS CLU their respective
administrators, directors, agents, officers, officials, volunteers, and employees, other participants, any sponsors,
advertisers, and if applicable, owners and lessors of premises on which the Activity takes place, (each considered one
of the "RELEASEES" herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED
OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE,
INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF
LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I and/or my minor child, or anyone on my and/or my
minor child's behalf, makes a claim against any of the Releases, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH
OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the
result of such claim.
6. I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE
OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE
GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID
THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT
Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement
(“Agreement”)
Tournament: South Central PA Holiday Table Tennis Tournament, Date: Dec. 2nd & 3rd, 2017
Tournament Director: Jim Starr, Eric Hine, Jonah Lin
1. IN CONSIDERATION of being permitted to participate in any way in MANOR Table Tennis non-sanctioned events, I
and/or my minor child, our personal representatives, assigns, heirs, and next of kin:
2. ACKNOWLEDGE, agree, and represent that I and/or my minor understand the nature of Table Tennis Activities and
that I and/or my minor child are qualified, in good health, and in proper physical condition to participate in suchActivity. I further agree that if at any time I believe conditions or equipment to be unsafe, I and/or my minor child will
immediately discontinue further participation in the Activity.
3. FULLY UNDERSTAND that (a) TABLE TENNIS ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY,
INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH, HARASSMENT, EXPOSURE TO INAPPROPRIATE CONDUCT
AND LANGUAGE ("RISKS"); (b) these Risks and dangers may be caused by me and/or my child's own actions, or
inaction, or the actions or inaction of others participating in the Activity, the condition in which the Activity takes
place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISKS AND SEVERE SOCIAL
AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND
ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I and/or my minor child incur
as a result of my participation in the Activity.
4. HEREBY ACCEPT AND ASSUME ALL SUCH RISKS, KNOWN AND UNKNOWN, AND ASSUME ALL RESPONSIBILITY FOR
THE LOSSES, COSTS, AND/OR DAMAGES FOLLOWING SUCH INJURY, DISABILITY, PARALYSIS, OR DEATH, EVEN IF CAUSED,
IN WHOLE OR IN PART, BY THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW;
5. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE MANOR TABLE TENNIS CLU their respective
administrators, directors, agents, officers, officials, volunteers, and employees, other participants, any sponsors,
advertisers, and if applicable, owners and lessors of premises on which the Activity takes place, (each considered one
of the "RELEASEES" herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED
OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE,
INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF
LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I and/or my minor child, or anyone on my and/or my
minor child's behalf, makes a claim against any of the Releases, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH
OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the
result of such claim.
6. I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE
OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE
GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID
THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT