Loading...

Tysons Playground Waiver & Release Form

In consideration for being permitted by Tysons Playground to observe/ and or participate in the above activity, I hereby waive, release and discharge any and all claims for damage for personal injury, death or property damage which I may have, or which may hereafter accrue to me, as a result of participation in said activity. This release is intended to discharge in advance Tysons Playground, Perfect Performance NOVA, R&D Baseball (its officers, employees and agents) from any and all liability arising out of or out of negligence or carelessness on the part of the person or entities mentioned above. It is understood that this activity involves an element of risk and danger of accidents and knowing those risks. I hereby assume those risks. It is further agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns. I agree to indemnify and to hold the above person or entities free and harmless from any loss, liability, damage, cost or expense which they may incur as the result of my injury or property damage that I may sustain while participating in said activity.

MEDIA: In additional consideration of being permitted by Tysons Playground to participate in its training program, or programs using the facility, I hereby permit Tysons Playground, Perfect Performance NOVA, R&D Baseball to use my name, images and likeness for promotional purposes limited to its athletic training programs and facilities.

I acknowledge that I have read this release and waiver and fully understood its contents. I have been fully and completely advised of the potential dangers incidental to engaging in the activity and instruction of athletic training and am fully aware of the legal consequences of signing this release. I voluntarily agree to the terms and conditions stated above.

Dated: December 11, 2018

Please select who will be participating...
AdultMinor
Continue
First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*

Last Name*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver