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Texas TreeVentures Waiver and Release of Liability

INDEMNIFICATION, ASSUMPTION OF RISK, WAIVER OF LIABILITY and RELEASE

I UNDERSTAND THAT THERE ARE INHERENT DANGERS, HAZARDS, AND RISKS OF INJURY OR DAMAGE INVOLVED IN USING THE TOWNSHIP’S PREMISES, FACILITIES, SERVICES, AND DURING 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 TOWNSHIP, I UNDERSTAND AND VOLUNTARILY ACCEPT THESE RISKS, WHICH MAY BE CAUSED IN WHOLE OR IN PART BY THE TOWNSHIP’S NEGLIGENCE OR BY OTHER PARTICIPANTS, GUESTS, OR THIRD PARTIES.  I AGREE THAT THE TOWNSHIP, ITS OFFICERS, EMPLOYEES OR SUCCESSORS, WILL NOT BE LIABLE 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 TOWNSHIP, ANYONE ACTING ON THE 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 TOWNSHIP PROGRAM/ACTIVITY/EVENT.  I ALSO AGREE TO INDEMNIFY THE TOWNSHIP AND HOLD THE 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 TOWNSHIP’S OR A THIRD PARTY’S NEGLIGENCE OR GROSS NEGLIGENCE, REGARDLESS OF WHO FILES A CLAIM.  I UNDERSTAND THAT I AM INDEMNIFYING THE TOWNSHIP FROM ANY AND ALL CLAIMS ARISING FROM MYSELF OR THIRD PARTIES, TO INCLUDE ALL REASONABLE FEES (INCLUDING ATTORNEYS’ FEES), COSTS AND EXPENSES THE TOWNSHIP INCURS TO DEFEND ITSELF FROM SUCH NEGLIGENCE CLAIM(S).

I hereby consent to photography and/or audio/video recording of myself, my children, wards or guests for Township advertising, publicity, or other business purposes.    I further consent to the reproduction and/or authorization by the Township to reproduce such photographs and/or recordings for any or all markets.

I verify that I/and my minor participating child(ren) are in good physical health and are able to participate in and/or complete the following programs(s) or event.

 

I further verify that I/my minor child meets the minimum age, height and weight requirements for this activity, program and/event.

 

 Signature  

(If under 18 years of age, signature of parent or guardian)

 

 

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*

Confirm Email*
Emergency Contact

Emergency Contact's 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.
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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