(Complete as many blanks as apply to you.)
Please list the name, occupation and telephone numbers of three people (other than relatives) who know you well enough tho provide us with a reference.
(Employment Purposes) The City of Shreveport is required by law to provide the FCRA Summary of Rights with each background investigation. We utilize this investigation primarily for criminal background checks.
I understand the normal risks from playing tennis and hereby release the hosting facility, the professionals and any person involved from any responsibility for any damages, losses or injuries sustained in conjunction with this program for myself or my child.
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF ALL RISK, AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
By hitting the “submit” button below I am agreeing that I have read, acknowledge, and agree with the waiver and responsibility and media release.
Email a copy of the following:
This field is not part of the form submission.
* indicates a required field