RELEASE OF LIABILITY 

I, __________________________, the undersigned, in conjunction with participation in 343 Memorial Climb (“Event”), hereby release the Fallen Heroes Family Support Fund, FC Dallas Foundation, Pizza Hut Park, Hunt Sports Group, Carrollton Fire Fighters Association, local 2182 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____________________________________________