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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____________________________________________ |
