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Houston Obstacles, LLC

Waiver and Release of Liability

For Minors

In consideration of my Minor Child being permitted to enter the premises, use the facilities, obstacles, related equipment and/or observe or participate in any way in Houston Obstacles, LLC (Obstacle Warrior Kids-The Woodlands) programs, events or activities wether on or off the premises (Activity), I, for myself and my Minor Child, as well as our respective heirs, estates, executors, representatives, administrators and assignees:

1. ACKNOWLEDGE, agree and represent that I understand the nature of the Activity and I understand my Minor Childs experience and capabilities and believe my Minor Child to be qualified, in good health and in proper physical condition to participate in the Activity and do not know of any condition or reason my Minor Child should not participate in the activity.  I further agree and warrant that if, at any time, I or my Minor Child believes the conditions to be unsafe, my Minor Child will immediately discontinue further participation in the activity. 

2. AGREE that my Minor Childs safety is primarily my own responsibility. I agree to make sure that my Minor Child knows how to safely participate in the Acivity.  My Minor Child agrees to observe any rules and practices that may be employed to minimize the risk of injury and agrees to stop and seek assistance if he/she does not believe he/she can safely continue, to limit his/her participation to reflect his/her personal fitness level and to refrain from any and all actifions that would pose a hazard to himself/herself or others. 

3. FULLY UNDERSTAND that: (a) THIS ACTIVITY INVOLVES RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING THE POTENTIAL FOR PERMANENT DISABILITY, PARALYSIS AND DEATH (Risks) and while particular rules, equipment and personal discipline may reduce these Risks, these Risks of serious injury do exist; (b) these Risks and dangers may be caused by my Minors Childs own actions or inactions, the actions or inactions of others participating in the Activity, the conditions of which the Activity takes place and/or THE NEGLIGENCE OF THE RELEASEES; (c) there may be OTHER RISKS and/or SOCIAL AND ECONOMIC LOSSES either not known tome or not readily foreseeable at this time.  

4. RECOGNIZE AND ACKNOWLEDGE THAT HOUSTON OBSTACLES, LLC DOES NOT CARRY ANY TYPE OF ACCIDENT OR HEALTH INSURANCE POLICY ON THE PARTICIPANTS IN THE ACTIVITY and that injuries can be catastrophic for those without proper medical coverage.  

5. KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELASEES or others, AND ALL RESPONSIBILITY FOR LOSSES, COSTS AND DAMAGES I or my Minor Child incurs as a result of my Minor Childs participation in the Activity. 

6. HEREBY RELEASE, DISCHARGE AND COVENENT NOT TO SUE HOUSTON OBSTACLES, LLC, its affiliates, owners, directors, agents, officers, managers, partners, members, volunteers, employees, other participants and its attorneys (Releasees) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES OR DAMAGES ON MY MINOR CHILDS ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEEASEES OR OTHERWISE TO THE FULEST EXTENT PERMITTED BY TEXAS LAW, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this WAIVER AND RELEASE OF LIABILTY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, my Minor Child or anyone on myMinor Childs behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may be incurred as the result of such claim.

I ACKNOWLEDGE THAT I AM 18 OR OLDER, HAVE REAAAD THI AGREEMENT AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGHNING IT, HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE, AND I, FORMYSELF AND MY MINOR CHILD, 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 AGREMENT IS HELD TO BE INVALID, THE BALANCE, NOT WITHSTANDING, SHALL CONTIUNE IN FULL FORE AND EFFECT. 

 

First Minor(s) Name

First Name*

Middle Name

Last Name*

Phone*
First Minor(s) Date of Birth*
First Minor(s) Signature*
Second Minor(s) Name

First Name*

Middle Name

Last Name*
Second Minor(s) Date of Birth*
Third Minor(s) Name

First Name*

Middle Name

Last Name*
Third Minor(s) Date of Birth*
Fourth Minor(s) Name

First Name*

Middle Name

Last Name*
Fourth Minor(s) Date of Birth*
Fifth Minor(s) Name

First Name*

Middle Name

Last Name*
Fifth Minor(s) Date of Birth*
Sixth Minor(s) Name

First Name*

Middle Name

Last Name*
Sixth Minor(s) Date of Birth*
Seventh Minor(s) Name

First Name*

Middle Name

Last Name*
Seventh Minor(s) Date of Birth*
Eighth Minor(s) Name

First Name*

Middle Name

Last Name*
Eighth Minor(s) Date of Birth*
Ninth Minor(s) Name

First Name*

Middle Name

Last Name*
Ninth Minor(s) Date of Birth*
Tenth Minor(s) Name

First Name*

Middle Name

Last Name*
Tenth Minor(s) Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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