NON-LIABILITY WAIVER FORM

I, [Participant's Full Name], hereby acknowledge that I have voluntarily chosen to participate in SI Borough's 2nd Annual Pickleball Tournament organized by Staten Island Pickleball, LLC on October 12, 2024, and/or October 13, 2024. In consideration of being permitted to participate in this activity, I agree to the following terms and conditions:

1. Assumption of Risk: I understand and acknowledge that participation in SI Borough's 2^nd Annual Pickleball Tournament involves inherent risks, including but not limited to physical injury, illness, or loss of personal property. I voluntarily assume all such risks and responsibilities associated with my participation. I am medically allowed and have no restrictions in my medical, health, and my doctor allows me to participate this activity.

2. Release of Liability: I hereby release, waive, discharge, and hold harmless Staten Island Pickleball, LLC, its employees, agents, representatives, volunteers, and all related parties from any and all claims, demands, causes of action, or liabilities arising directly or indirectly from my participation in SI Borough's 2^nd Annual Pickleball Tournament, including but not limited to those arising from negligence or any other acts or omissions.

3. Indemnification: I agree to indemnify and hold Staten Island Pickleball, LLC and its employees, agents, representatives, volunteers, and all related parties from all losses, damages, costs, or expenses, including reasonable attorney fees, incurred as a result of any claims or lawsuits brought against them arising from my participation in SI Borough 2^nd Annual Pickleball Tournament.

4. Medical Authorization: I agree to be responsible for any associated medical expenses.

5. Severability: If any provision of this waiver form is deemed invalid or unenforceable, the remaining provisions shall remain in full force and effect.

6. Governing Law: This waiver form shall be governed by and construed in accordance with the laws of New York Jurisdiction, without regard to its conflict of laws principles. By signing below, I acknowledge that I have carefully read, understood, and agreed to the terms and conditions stated in this non-liability waiver form. I know the legal consequences of signing this document and waive any right to assert any claims against Staten Island Pickleball, LLC, arising from my participation in SI Borough's 2^nd Annual Pickleball Tournament.

Participant's Name: __________________________

Participant's Signature: _______________________

Date: _________

Participants