TST Registration: Dallas Texans

After School Program 14/15

Registration

Clear Current Selection

WAIVER AND RELEASE


I intend to participate in an event (The After School Program) at the Ross Stewart Soccer Complex. In consideration of the privilege of participating in the event, I hereby agree as follows:

I. In the event that I incur any injury or other loss in connection with the event, including any injury ot loss resulting from (i) the condition on the grounds, buildings, equipment, parking lots or other aspects of the complex, (ii) the negligent operation of the complex or the event, or (iii) any other actions of any party in connection with the event, I hereby waive any right to bring a claim or legal action against the sponsor of the event, the manager of the complex (Club Soccer Inc.), the owner of the complex (The City of Farmers Branch), or any of their trainers, physicians, volunteers, staff or other agents, and I release such parties from any liabilty for such injury or loss.

II. I recognize and fully assume the risks of my participation in the event, including serious injury, paralysis, disability and even death, as well as loss of or damage to my property.

III. I request that in my absence the above-mentioned minor be released to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists, and staff, duly licensed as Doctors of Medicine or Doctors of Dentistry or other such licensed technicians or nurses to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of the above-mentioned minor. I have not given a guarantee to the results of the examination or treatment. I authorize the hospital or medical facilty to dispose of any specimen or tissue taken from the above-mentioned minor.

IV. I enter into this Waiver and Release for myself and on behalf of my heirs, assigns and legal representatives.

V. This Waiver and Release shall be governed by the laws of the State of Texas

The above box will act as a digital signature accepting the above-mentioned