Use of Premises Policy

Provincetown Tennis Club 
Requirements for Use of Premises

Name: ______________________________________________

Email(s): ______________________________________________

Address: ____________________________________________

City: ________________State: __________Zip: _____________

Phone: __________________________________

Contact Name in case of emergency:________________________________________

Contact Phone number(s) for above in case of emergency________________________

Medical Release

In the event that I am injured or become ill or my child is injured or becomes ill in the absence of a parent or legal guardian, I give permission for the Club staff to seek medical care. By signing below, I release the Club, its Board, staff, and volunteers from any liability in any way connected to medical care provided on Club premises.

Release of Liability/Acknowledgement of Risk

Upon entering the Club premises, I agree to abide by the rules and policies of the Club. I understand and acknowledge that tennis is an inherently dangerous activity. By signing below, I am agreeing to and understand the possibility that participation in or observation of tennis constitutes a risk to me of serious injury, including permanent injury or death, and I voluntarily and knowingly assume all risks. Excepting gross negligence on the part of the Club, I also release the Club, its Board, staff, and volunteers from any liability in any way connected to my presence at the Club.

Member Privacy Information

Contact information for members is provided to the Club for official Club-related purposes only and will not be used for other purposes without member consent. PTC endeavors to reasonably protect any personal information it maintains pursuant to 201 CMR 17.00: Standards for the Protection of Personal Information of the Residents of the Commonwealth.

The Club maintains a membership contact list in order for players to be able to contact each other directly to arrange for tennis games. If you wish to “opt-out” of having your contact information appear on any distributed or online membership contact lists or directories, please initial here.. ___________ (member initials).

In accordance with the Club’s By Laws, the Board reserves the right to change membership fees and Club policies at any time. All fees are non-refundable.


Member Signature: __________________________________ Date: ________________

Parent/Guardian Signature required for anyone under 18

Members and Guests hereby acknowledge that the Provincetown Tennis Club is a private, members-only 501 c 7 organization and is not subject to the American’s with Disabilities Act and other laws and regulations applicable to public accommodations.