Insurance Waiver and Release of Liability Agreement, Media Release Agreement & GroupDynamix Waiver

Spina Bifida Association of North Texas

INSURANCE WAIVER & RELEASE OF LIABILITY FORM

In consideration of being allowed to participate in any way in Spina Bifida Association’s programs, related events and activities, I and/or the minor participant, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin, I agree and acknowledge as follows:

1. I agree, and agree on behalf of my minor child if applicable, that prior to participating, I will inspect, or if a parent/legal guardian, I will instruct the minor participant to inspect the facilities and equipment to be used. If I believe, to the best of my ability, that anything is unsafe, I and/or the minor participant will immediately advise the Spina Bifida Association of North Texas of such condition(s) and refuse to participate.

2. I acknowledge, and acknowledge on behalf of my minor child if applicable, and fully understand that I and/or the minor participant will be engaging in activities that might involve risk of serious injury, including permanent disability and death. I understand that severe personal, social, and economic losses might result from my own actions or inaction, from my own negligence or the negligence of others, from the rules of play, or from the condition of the premises or any equipment used.

3. I assume, and assume on behalf of my minor child if applicable, all the foregoing risks and accept personal responsibility for the damages following any such injury, permanent disability or death.

4. On behalf of myself and my minor child if applicable, I release, waive, discharge and covenant not to sue the Spina Bifida Association of North Texas, its affiliated clubs and organizations, their representative administrators, directors, board of directors, agents, coaches and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, their heirs and if applicable, the owners and leasers of the premises used to conduct the event, all of which are hereinafter referred to as "Released Parties," from demands , losses or damages on account of injury, including death or damage to property, EVEN IF CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASED PARTIES.

I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING, HAVE NOT CHANGED IT ORALLY AND AGREE VOLUNTARILY.

FOR PARTICIPANTS OF MINORITY AGE (to be completed by parent/guardian)

This is to certify that I, as a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of the Released Parties and for myself, my heirs, assigns and next of kin, I release and agree to indemnify and hold harmless the Released Parties from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM RELEASED PARTIES OWN NEGLIGENCE.

Media Release Form/Agreement

I hereby authorize and give my full consent to the Spina Bifida Association and the Spina Bifida Association of North Texas to copyright and/or publish any and all photographs, videos or film footage in which I appear while attending a Spina Bifida Association of North Texas event. I further agree that the Spina Bifida Association of North Texas may transfer or use these photographs, videos or film footage for any exhibitions, public displays, publications, commercials, artwork, advertising and television programs without limitations or reservations.

GroupDynamix Waiver
Adult Participant

I, the participant, understand the nature of Activities facilitated by Group Dynamix and that I am qualified, in good health, and in proper physical condition to participate in such Activities. I further agree and warrant that if at any time I believe the conditions to be unsafe, I will immediately discontinue further participation in the Activities. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless Group Dynamix, its administrators, directors, agents, officers, members, volunteers, team members, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activities take place (“Releasees”), from all liability, claims, demands, losses, or damages on the participant’s account caused or alleged to be caused in whole or in part by the negligence of the “Releasees” or otherwise, including negligent rescue operations and further agree that if, despite this release, I, or anyone on my behalf, makes a claim against any of the “Releasees” named above, I will indemnify, save, and hold harmless each of the “Releasees” from any litigation expenses, attorney fees, loss liability, damage, or any cost that may occur as a result of any such claim.

Minor Participant

I, the minor’s parent and/or legal guardian, understand the nature of Activities facilitated by Group Dynamix and the minor’s experience and capabilities, and I believe the minor to be qualified, in good health, and in proper physical condition to participate in such Activities, and thereby give my consent that said minor may participate in the Activities. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless Group Dynamix, its administrators, directors, agents, officers, members, volunteers, team members, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activities take place (“Releasees”), from all liability, claims, demands, losses, or damages on the minor’s account caused or alleged to be caused in whole or in part by the negligence of the “Releasees” or otherwise, including negligent rescue operations and further agree that if, despite this release, I, the minor’s parent or legal guardian, or anyone on the minor’s behalf, makes a claim against any of the “Releasees” named above, I will indemnify, save, and hold harmless each of the “Releasees” from any litigation expenses, attorney fees, loss liability, damage, or any cost that may occur as a result of any such claim.