Loading...

Keep Brazos Beautiful General Waiver

In consideration of my participation in the Keep Brazos Beautiful Event, I hereby release, discharge and further agree to indemnify and hold harmless Keep Brazos Beautiful and their respective agents, employees, officers, directors, contractors, volunteers and successors (hereafter referred to as the Released Parties) from any and all claims, losses, dam-ages, demands, causes of action, suits and liabilityof every kind, including without limitation, any claims for loss, damage or destruction of property, orinjury (including death), regardless of whether such loss arises in whole or in part from the negligence of the Released Parties, for any loss arising out of, connected to, or resulting from this activity.

I have been informed of the details of participation and understand the risks inherent in an activity of this nature and assume liability for those risks. This event is not hosted or supervised by Keep Brazos Beautiful. Keep Brazos Beautiful is providing supplies for this event sponsored by you or your organization.

I hereby authorize any or all of the Released Parties to take and use my picture in various publications of Released Parties. I do not wish to approve the finished version(s) of the photographs before they are used by the Released Parties in these publications, nor do I wish to claim any ownership interest in these photographs. I will not consider such use of the photographs as libelous or an invasion of my privacy. By submitting this form, I affirm that the facts set forth in it are true and complete. I also hereby certify that for my group, members, agents, and all volunteers, for myself, my heirs, and executors, waive and release any and all claims for damages that may arise and/or for any type of injuries or losses incurred while participating and/or volunteering in or in conjunction with the above-mentioned event. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

I agree to fully uphold the policies and mission by Keep Brazos Beautiful. I agree to complete the duties required within the work shift I have been assigned and will notify the appropriate staff person within a reasonable time if I am unable to do so. I agree that Keep Brazos Beautiful has a zero-tolerance policy for any use or influence of alcohol, controlled, or illegal substances while on grounds designated for Keep Brazos Beautiful purposes, programs and events and during volunteer performance. I also agree that I will not have any alcohol, controlled, or illegal substances in my possession during my volunteer time with Keep Brazos Beautiful.

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Date of Event
Click to customize date box label
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*
Middle Name
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
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 - TRY IT FREE!