Common use of Severability and Venue Clause in Contracts

Severability and Venue. Participant and Parent/Guardian further expressly agree that this waiver is intended to be as broad and inclusive as is permitted by the law of the State of Florida and that if any portion thereof is held invalid, it is agreed that the remaining portion of the waiver will continue in full legal force and effect. Also, Participant and Parent/Guardian agree that all disputes must be resolved using binding arbitration and take place at the office of the American Arbitration Association located nearest to Sunrise, Florida. Acknowledgment of Understanding: Participant and Parent/Guardian have read this waiver and fully understand its terms. Participant and Parent/Guardian understand that Participant is giving up rights, including the right to compensation for injury resulting from negligence of ▇▇▇▇ ▇▇▇▇▇▇▇, SHPT. Participant and Parent/Guardian acknowledge that they are signing the agreement freely and voluntarily, and intend their signatures to be a complete and unconditional release of all liability to the greatest extent allowed by law. Name of Participant (Please Print) Signature of Parent/Guardian of Participant Date Signature of Minor Participant Date Assumption of Risks: Physical activity, by its very nature, carries with it certain dangers and risks that cannot be eliminated regardless of the care taken to avoid injuries. ▇▇▇▇ ▇▇▇▇▇▇▇, SHPT have facilities for various sport specific and related activities such as strength training and running. Some of these activities involve strenuous exertions of strength using various muscle groups, some involve quick movements involving speed and change of direction, some involve contact with equipment, other participants (including participants that are older or younger and who may be larger or smaller (in terms of weight and height) than Participant, and various surfaces (which may be uneven), and others involve sustained physical activity which places stress on the cardiovascular system. Participant will also be exposed to risks while traveling and participating in various activities. Some of these activities involve travel in vehicles (for example, in vans when traveling to a competition or to the airport) and exposure to large crowds (such as at a music concert). The specific risks vary from one activity to another, but in each activity the risks range from (1) minor injuries such as scratches, cuts, bruises, and sprains to (2) major injuries such as loss of sight, loss of teeth, broken bones, joint or back injuries, concussions, and heart attacks to (3) catastrophic injuries including paralysis and death. I also understand that the Participant may expose others, or may be exposed, to contagious disease such as influenza, chicken pox or measles. Participant and Parent/Guardian have read the previous paragraphs and (1) understand the nature of the activities at SHPT, (2) understand the demands of those activities relative to the physical condition and skill level of Participant, and (3) appreciate the types of illnesses and injuries which may occur as a result of activities made possible by ▇▇▇▇ ▇▇▇▇▇▇▇, SHPT. Participant and Parent/Guardian hereby assert that participation is voluntary and that Participant and Parent/Guardian knowingly assume all such risks. Acknowledgement of Rules and Standards of Conduct: I understand that ▇▇▇▇ ▇▇▇▇▇▇▇, SHPT have rules and standards of conduct that are set forth in the Student Handbook. I agree to abide by these rules and standards for the safety of Participants, the staff, and the other participants. Acknowledgment of Understanding: Participant and Parent/Guardian have read this agreement to participate and fully understand its terms. Participant and Parent/Guardian acknowledge freely and voluntarily signing the agreement and intend the signatures to signify a complete assumption of the inherent risks of participating in or observing activities at ▇▇▇▇ ▇▇▇▇▇▇▇, SHPT to the greatest extent allowed by law in the State of Florida. In signing this assumption of risk as Parent/Guardian, I acknowledge that I am consenting to the participant’s participation at ▇▇▇▇ ▇▇▇▇▇▇▇, SHPT programs (as specified in paragraph one) and acknowledge that Participant and Parent/Guardian expressly assume all inherent risks of the activity. Name of Participant (Please Print) Signature of Parent/Guardian of Participant Date Signature of Minor Participant Date I, (print name) certify that the ▇▇▇▇ ▇▇▇▇▇▇▇ and the staff of ▇▇▇▇▇▇▇ High Performance Tennis (SHPT) are given authority by me and my Parent/Guardian (print name) (print name) to act on my behalf for any medical/mental health care treatment (including immunizations required by law) and prescriptions reasonably necessary or medically advisable to maintain the life, health and well-being of my child. This includes, but is not limited to, first aid care and prevention of injuries, mental health interventions, follow-up care and the taking of over-the-counter prescriptions that are approved by a physician even when the child is not seen by a physician. This consent for treatment extends to the signing and conduct of: (1) legal authorization for treatment; (2) consultations; (3) anesthesia; (4) emergency examinations; (5) consent for hospitalization; and (6) treatment or surgery that may be deemed necessary by appropriate medical personnel. Signature of Parent/Guardian: Today’s Date: Name of Insurance Company: Policy Number: Address: Telephone:( ) Are you currently taking any medication: YES NO If yes, please give name of medications(s) and explain reason for and method of use: Chicken Pox Yes No Kidney Disease Yes No Eczema Yes No Measles Yes No Migraine Yes No Ear Infection Yes No Whooping Cough Yes No Stomach Disorders Yes No Epilepsy Yes No Asthma/Hay Fever Yes No HIV Yes No Fainting Yes No Diabetes Yes No ADD Yes No Heart Disease Yes No Mononucleosis Yes No Depression Yes No Hernia Yes No Scarlet Fever Yes No Mumps Yes No Tuberculosis Yes No Sinusitis Yes No Anemia Yes No Venereal Disease Yes No Tonsillitis Yes No Concussion Yes No Meningitis Yes No When completed, please scan and email to ▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.

Severability and Venue. Participant and Parent/Guardian further expressly agree that this waiver is intended to be as broad and inclusive as is permitted by the law of the State of Florida and that if any portion thereof is held invalid, it is agreed that the remaining portion of the waiver will continue in full legal force and effect. Also, Participant and Parent/Guardian agree that all disputes must be resolved using binding arbitration and take place at the office of the American Arbitration Association located nearest to Sunrise, Florida. Acknowledgment of Understanding: Participant and Parent/Guardian have read this waiver and fully understand its terms. Participant and Parent/Guardian understand that Participant is giving up rights, including the right to compensation for injury resulting from negligence of ▇▇▇▇ ▇▇▇▇▇▇▇, SHPT. Participant and Parent/Guardian acknowledge that they are signing the agreement freely and voluntarily, and intend their signatures to be a complete and unconditional release of all liability to the greatest extent allowed by law. Name of Participant (Please Print) _ Signature of Parent/Guardian of Participant Date Signature of Minor Participant Date Assumption of Risks: Physical activity, by its very nature, carries with it certain dangers and risks that cannot be eliminated regardless of the care taken to avoid injuries. ▇▇▇▇ ▇▇▇▇▇▇▇, SHPT have facilities for various sport specific and related activities such as strength training and running. Some of these activities involve strenuous exertions of strength using various muscle groups, some involve quick movements involving speed and change of direction, some involve contact with equipment, other participants (including participants that are older or younger and who may be larger or smaller (in terms of weight and height) than Participant, and various surfaces (which may be uneven), and others involve sustained physical activity which places stress on the cardiovascular system. Participant will also be exposed to risks while traveling and participating in various activities. Some of these activities involve travel in vehicles (for example, in vans when traveling to a competition or to the airport) and exposure to large crowds (such as at a music concert). The specific risks vary from one activity to another, but in each activity the risks range from (1) minor injuries such as scratches, cuts, bruises, and sprains to (2) major injuries such as loss of sight, loss of teeth, broken bones, joint or back injuries, concussions, and heart attacks to (3) catastrophic injuries including paralysis and death. I also understand that the Participant may expose others, or may be exposed, to contagious disease such as influenza, chicken pox or measles. Participant and Parent/Guardian have read the previous paragraphs and (1) understand the nature of the activities at SHPT, (2) understand the demands of those activities relative to the physical condition and skill level of Participant, and (3) appreciate the types of illnesses and injuries which may occur as a result of activities made possible by ▇▇▇▇ ▇▇▇▇▇▇▇, SHPT. Participant and Parent/Guardian hereby assert that participation is voluntary and that Participant and Parent/Guardian knowingly assume all such risks. Acknowledgement of Rules and Standards of Conduct: I understand that ▇▇▇▇ ▇▇▇▇▇▇▇, SHPT have rules and standards of conduct that are set forth in the Student Handbook. I agree to abide by these rules and standards for the safety of Participants, the staff, and the other participants. Acknowledgment of Understanding: Participant and Parent/Guardian have read this agreement to participate and fully understand its terms. Participant and Parent/Guardian acknowledge freely and voluntarily signing the agreement and intend the signatures to signify a complete assumption of the inherent risks of participating in or observing activities at ▇▇▇▇ ▇▇▇▇▇▇▇, SHPT to the greatest extent allowed by law in the State of Florida. In signing this assumption of risk as Parent/Guardian, I acknowledge that I am consenting to the participant’s participation at ▇▇▇▇ ▇▇▇▇▇▇▇, SHPT programs (as specified in paragraph one) and acknowledge that Participant and Parent/Guardian expressly assume all inherent risks of the activity. Name of Participant (Please Print) _ Signature of Parent/Guardian of Participant Date Signature of Minor Participant Date I, (print name) certify that the ▇▇▇▇ ▇▇▇▇▇▇▇ and the staff of ▇▇▇▇▇▇▇ High Performance Tennis (SHPT) are given authority by me and my Parent/Guardian (print name) _ (print name) to act on my behalf for any medical/mental health care treatment (including immunizations required by law) and prescriptions reasonably necessary or medically advisable to maintain the life, health and well-being of my child. This includes, but is not limited to, first aid care and prevention of injuries, mental health interventions, follow-up care and the taking of over-the-counter prescriptions that are approved by a physician even when the child is not seen by a physician. This consent for treatment extends to the signing and conduct of: (1) legal authorization for treatment; (2) consultations; (3) anesthesia; (4) emergency examinations; (5) consent for hospitalization; and (6) treatment or surgery that may be deemed necessary by appropriate medical personnel. Signature of Parent/Guardian: Today’s Date: Name of Insurance Company: _Policy Number: _ _ Address: _ Telephone:( :( _) _ Are you currently taking any medication: YES NO If yes, please give name of medications(s) and explain reason for and method of use: Chicken Pox Yes No Kidney Disease Yes No Eczema Yes No Measles Yes No Migraine Yes No Ear Infection Yes No Whooping Cough Yes No Stomach Disorders Yes No Epilepsy Yes No Asthma/Hay Fever Yes No HIV Yes No Fainting Yes No Diabetes Yes No ADD Yes No Heart Disease Yes No Mononucleosis Yes No Depression Yes No Hernia Yes No Scarlet Fever Yes No Mumps Yes No Tuberculosis Yes No Sinusitis Yes No Anemia Yes No Venereal Disease Yes No Tonsillitis Yes No Concussion Yes No Meningitis Yes No ETC.: _ _ _ _ _ _ _ _ _ _ When completed, please scan and email to ▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.