LiabilityRelease SAYCEvent

Last Revised on 5/6/2014; 1:11 PM
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND/OR VOLUNTEERING IN THIS ACTIVITY OR
EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of
the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled
by them, or because of their possible liability without fault.

I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and
organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said
activity or event.

I recognize and am fully aware that facilities or events may involve physical risks of injury to my child. I am fully aware of,
understand and voluntarily accept those risks, including the risk of automobile or vehicle accidents, and agree that neither
Generation TX San Antonio (GenTX SA) and P16 Plus Council of Greater Bexar County (P16) nor any of its employees, partners
or sponsors, officers or agents will be liable for any personal injuries (including, but not limited to, bodily or mental injury or
death), property loss, economic loss or any other damage resulting from any acts or omissions, including the active or passive
negligence of GenTX SA & P16, its employees, partners or sponsors, officers or agents, including driver negligence.

In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my
executors, administrators, heirs, next of kin, successors, and assigns as follows:

(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the
negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property
theft, or actions of any kind which may hereafter occur to me including my traveling to and from this event, THE FOLLOWING
ENTITIES OR PERSONS: GenTX SA & P16 and/or their directors, officers, employees, volunteers, representatives, and agents,
the activity or event holders, activity or event sponsors, activity or event volunteers;

(B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any
and all liabilities or claims made as a result of participation in this activity or event, whether caused by the negligence of
release or otherwise.

I acknowledge that GenTX SA & P16 and their directors, officers, volunteers, representatives, and agents are NOT responsible
for the errors, omissions, acts, or failures to act of any party or entity conducting a specific event or activity on behalf of GenTX
SA & P16.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness
during this activity or event.

I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video, or film likeness
to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, and assigns.

The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent
permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT
THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

________________________________ _______ _______________________________ __________
Print Participants Name Age Signature (if under 18 years old, Date
Parent or guardian must also sign)

PARENT / GUARDIAN WAIVER FOR MINORS (Under 18 years old)

The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has
consented to his/her child or wards participation in the activity or event, and has agreed individually and on behalf of the
child or ward, to the terms of the accident waiver and release of liability set forth above. The undersigned parent or guardian
further agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss,
cost, claim, or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity
to so act and release said parties on behalf of the minor and the parents or legal guardian.

________________________________ _______ _______________________________ __________
Print Participants Name Age Signature of Parent or Guardian Date

LiabilityRelease SAYCEvent

Uploaded by

Copyright:

Available Formats

LiabilityRelease SAYCEvent

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

LiabilityRelease SAYCEvent

Uploaded by

Copyright:

Available Formats

Last Revised on 5/6/2014; 1:11 PM

You might also like