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INDEMNIFICATION, ASSUMPTION OF RISK, WAIVER OF LIABILITY and RELEASE

I ACKNOWLEDGE AND UNDERSTAND THAT THERE ARE CERTAIN INHERENT DANGERS, HAZARDS, AND RISKS OF INJURY OR DAMAGE INVOLVED IN USING THE WOODLANDS TOWNSHIP’S PREMISES, FACILITIES, SERVICES, AND DURING THE WOODLANDS TOWNSHIP-OWNED OR SPONSORED ACTIVITIES, EVENTS AND/OR PROGRAMS. I UNDERSTAND THAT SPECIFIC RISKS VARY FROM ONE ACTIVITY OR PROGRAM TO ANOTHER AND RANGE FROM MINOR INJURIES TO MAJOR INJURIES, SUCH AS CATASTROPHIC INJURIES INCLUDING DEATH. IN CONSIDERATION OF MY PARTICIPATION IN THE PROGRAMS/ACTIVITIES OR EVENTS OFFERED BY OR AT THE WOODLANDS TOWNSHIP, I UNDERSTAND AND VOLUNTARILY ACCEPT THESE RISKS ASSOCIATED WITH MY PARTICIPATION, WHICH MAY BE CAUSED IN WHOLE OR IN PART BY THE WOODLANDS TOWNSHIP’S NEGLIGENCE OR BY OTHER PARTICIPANTS, GUESTS, OR THIRD PARTIES. I HEREBY RELEASE THE WOODLANDS TOWNSHIP, ITS OFFICERS, EMPLOYERS, EMPLOYEES OR SUCCESSORS, FROM LIABILITY FOR ANY INJURY, INCLUDING, WITHOUT LIMITATION, PERSONAL, BODILY, OR MENTAL INJURY, ECONOMIC LOSS OR ANY DAMAGE TO ME, MY GUEST(S), MINOR CHILDREN, NEXT OF KIN, PERSONAL REPRESENTATIVES, HEIRS OR ASSIGNS RESULTING FROM ANY NEGLIGENCE (INCLUDING GROSS NEGLIGENCE) OF THE WOODLANDS TOWNSHIP, ANYONE ACTING ON THE WOODLANDS TOWNSHIP’S BEHALF OR ANYONE ELSE USING AND/OR ATTENDING AND/OR PARTICIPATING IN THE PROGRAM/EVENT/ACTIVITY AND/OR SERVICES, WHETHER OR NOT IT IS RELATED TO THE WOODLANDS TOWNSHIP PROGRAM/ACTIVITY/EVENT. I ALSO AGREE TO INDEMNIFY THE WOODLANDS TOWNSHIP AND HOLD THE WOODLANDS TOWNSHIP FREE AND HARMLESS FROM ALL CLAIMS FOR PERSONAL INJURIES, INCLUDING DEATH, AND ALL PROPERTY DAMAGE, INCLUDING DAMAGES ALLEGED TO HAVE BEEN CAUSED BY MY, THE WOODLANDS TOWNSHIP’S OR A THIRD PARTY’S NEGLIGENCE, REGARDLESS OF WHO FILES A CLAIM. I UNDERSTAND THAT THIS IS A BINDING LEGAL DOCUMENT AND THAT I AM INDEMNIFYING THE WOODLANDS TOWNSHIP FROM ANY AND ALL CLAIMS ARISING FROM MYSELF OR THIRD PARTIES, TO INCLUDE ALL REASONABLE FEES (INCLUDING ATTORNEY’S FEES), COSTS AND EXPENSES THE WOODLANDS TOWNSHIP MAY INCUR TO DEFEND ITSELF FROM SUCH NEGLIGENCE CLAIM(S).

I Agree

MEDIA RELEASE

I HEREBY GRANT PERMISSION TO THE WOODLANDS TOWNSHIP, ITS OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES, AND AFFILIATES/SUBSIDIARIES THE ABSOLUTE AND IRREVOCABLE PERPETUAL RIGHT AND PERMISSION TO USE, DISTRIBUTE, PUBLISH, RE-PUBLISH, EXHIBIT, DIGITIZE, BROADCAST, DISPLAY, MODIFY, AND CREATE PHOTOGRAPHS AND/OR VIDEOS TAKEN OF ME ALONE OR WITH OTHERS IN ANY AND ALL MEDIA NOW OR HEREAFTER KNOWN, FOR EDUCATIONAL, ADVERTISING, NON-COMMERCIAL OR COMMERCIAL, OR ANY PURPOSE WHATSOEVER WITHOUT COMPENSATION.

I HEREBY RELEASE AND DISCHARGE THE WOODLANDS TOWNSHIP, ITS OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES, AND AFFILIATES/SUBSIDIARIES FROM ANY AND ALL CLAIMS AND DEMANDS ARISING OUT OF OR IN CONNECTION WITH THE USE OF THE PHOTOGRAPHS OR VIDEOS, INCLUDING WITHOUT LIMITATION TO ANY AND ALL CLAIMS FOR LIBEL, DEFAMATION, INVASION OF PRIVACY, AND ANY OTHER PERSONAL AND/OR PROPERTY RIGHTS.

THIS RELEASE SHALL ALSO INURE TO THE BENEFIT OF THE HEIRS, LEGAL REPRESENTATIVES, LICENSEES, AND ASSIGNS OF THE WOODLANDS TOWNSHIP. I HAVE READ THE FOREGOING AND FULLY UNDERSTAND THE CONTENTS THEREOF AND ACKNOWLEDGE THAT THIS RELEASE SHALL BE BINDING UPON ME AND MY HEIRS, LEGAL REPRESENTATIVES, AND ASSIGNS.

I Agree

Physical Fitness Acknowledgment

I certify that I am physically and mentally fit to participate in the activity, event, or program and that I have no known medical conditions that would prevent me from safely participating. I acknowledge and agree that I have read and fully understand the terms of this release, will comply with all rules, regulations, instructions, and guidelines, and that I voluntarily agree to these terms and conditions set forth herein.

I Agree

Cardiac Pacemaker Notice

The Edelrid Smart Belay X (ESBX) used during this activity emits a low-level magnetic field that may influence/interfere with cardiac pacemakers. I understand and certify that: (a) I have obtained professional medical clearance regarding my participation in this activity, or (b) I do not have a cardiac pacemaker.

I Agree


I have read, understand, and acknowledge ALL above policies.

Must be at least 18 years old to sign. Legal Guardians are required to sign for any minor participant.

 

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

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

Email
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Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Zip Code
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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First 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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