|
RELEASE OF LIABILITY
I, __________________________, the undersigned, in
conjunction with participation in Firefighter Benefit Festival (“Event”),
hereby release the Fallen Heroes Family Support Fund, Carrollton Independent
School District, and all sponsors of said Event; their staff, principals,
agents and any and all persons associated with said Event in any capacity, from
any liability incurred as a result of my participation in this Event and damages
or injury I might incur to me as a result of participation, including, but not
limited to, damages or injuries I might suffer during said Event. I do hereby
state that I am physically able to participate in this Event, and heretofore
have not been specifically advised by a physician and/or medical authority
against this kind of activity.
When this form is being
used as a team registration, each person signing below agrees to the release of
liability in his own personal capacity.
SIGNATURE OF PARTICIPANT or
TEAM CAPTAIN
______________________________________________ DATE____________
PRINTED NAME OF
PARTICIPANT/TEAM CAPTAIN
_____________________________________________
SIGNATURES TEAM MEMBERS IF
APPLICABLE
TEAM MEMBER 2
_____________________________________________ DATE ____________
TEAM MEMBER 3
_____________________________________________ DATE ____________
TEAM MEMBER 4
_____________________________________________ DATE ____________
Where applicable, I have signed below as a GUARDIAN OR
PARENT of the undersigned minor. I furthermore acknowledge that the waivers,
releases, and affirmations above are true and apply to said minor. I make such
affirmation on behalf of said minor as the minor’s legal parent or guardian.
SIGNATURE OF
GUARDIAN/PARENT
_____________________________________________ DATE____________
PRINTED NAME OF
GUARDIAN/PARENT____________________________________________ |