Please enter information for each player below. A maximum of 20 players per team are allowed.
NAME AND DATE OF BIRTH ARE REQUIRED FOR EACH PLAYER.
It is the responsibility of each coach and player to read and agree to the follwoing Participation Waiver before participating in any Carrollton league or program.
I, (PARTICIPANT), as an inducement to the City of Carrollton to allow me to participate in its recreation and leisure program(s), and for and in consideration of the privilege of being allowed to participate in the said program, and recognizing that recreational activity involves certain inherent dangers including but not limited to the possibility of physical danger, harm, accidents, and injuries,do hereby agree to and assume any and all risks arising from any incident, action, occurrence, or activity occurring on public, private, or other property, which affects the said minor or us in any manner whatsoever, and do hereby release and agree to hold harmless and to indemnify the City of Carrollton, its officials, Department of Parks and Recreation, officers, agents, and employees, in both their official and individual capacities,from any and all liability, claims (including claims for attorneys’ fees and costs of court), suits, demands, or causes of action which mayarise, or may be alleged to have arisen, from my participation in the multiple programs, including liability, claims, suits, demands, or causes of action which arise, or which allegedly arose, from the sole negligence or acts or omissions of the City of Carrollton, its officers, agents, employees,or officials.
I voluntarily choose to participate in this program for personal and recreational reasons without promise, expectation, or receipt of monetary compensation. I do hereby grant and give these groups the right to use my or my child’s photograph or image with or without my or my child’s name both single and in conjunction with other persons or objects for any and all purposes including but not limited to private or public presentations, advertising, publicity and promotion relating thereto I warrant that I have the right to authorize the foregoing uses and dohereby agree to hold the City of Carrollton Parks and Recreation Department harmless of and from any and all liability of whatever nature which may arise out of result from such uses.
It is further agreed that the execution of this release shall not constitute a waiver by the City of Carrollton, its officers, agents, officials,and employees, of the defense of governmental immunity, where applicable, or to defenses predicated on the Texas Automobile Guest Statute,Chapter 72 of the Texas civil Practice and Remedies Code, or any other defense, claim, cause of action or assertion of any kind or nature,recognized by any court of law, administrative agency, or other entity.
I certify that I have read the foregoing instrument, that I understand its terms and conditions, that I make this waiver voluntarily, and that I have not relied upon any representations made by the City of Carrollton, or its officers, agents, officials, or employees in signing this release. I further certify that I am an adult, am in sound mental health, and fully capable of making this waiver of liability.