For good and valuable
consideration, the receipt and sufficiency
of which are hereby acknowledged, I_________________________
as parent or legal guardian of.____________________________,
a minor (hereinafter "Minor"), hereby
grant the permission necessary to allow Minor
to participate in the above Event to be conducted
by Turkey Day Classic, in conjunction with
their tournament sponsors. I acknowledge and
agree, in my own behalf and on behalf of the
Minor, that such participation subjects Minor
to the possibility of physical illness or
injury (minimal, serious, catastrophic and/or
death) and that I, in my own behalf and on
behalf of Minor, acknowledge that the Minor
is assuming the risk of such illness or injury
by participating in the Event. In the event
of such illness or injury, I authorize the
Toys For Kids Foundation or it's designated
representatives to obtain the necessary medical
treatment for the Minor and hereby, in my
own behalf and on behalf of the Minor, release
and hold harmless the tournament sponsors
of this Event, City of Atlanta, Georgia, on
whose premises the Even: will occur and the
Turkey Day Classic, the affiliates of the
tournament sponsors, City of Atlanta, Georgia,
and the Turkey Day Classic, and their respective
directors, officers, representatives, members,
agents, and employees of the tournament sponsors,
City of Atlanta, Georgia, and the Turkey Day
Classic and their respective affiliates (hereinafter
collectively "Releasees") in the
exercise of this authority. I further acknowledge
and understand that I will be responsible
for any and all medical related bills that
may be incurred on behalf of the Minor for
any illness or injury that the Minor may sustain
during the Event and while traveling to and
from the site for the Event,
I. in my own behalf and on behalf of the Minor, further
agree to release and to hold harmless Releasees from
any and all liability for negligence or any other
claim, judgement, loss, liability, cost and expense
(including, without limitations, attorney's fees
and costs) arising out of or connected with the Event,
including any claim arising our of or connected with
any illness or injury that the Minor may incur or
sustain during the Event, all activities associated
with the Event, and while traveling to and from the
site tor the Event whether or not the Event actually
occurs. I further expressly agree to indemnify and
hold harmless Releasees and Releasees's heirs, successors,
assigns, executors, and administrators against loss
from any further claims, demands or actions that
may subsequently be brought by Minor or by any other
person or persons on account of damages of any character
resulting to Minor in any way from the foregoing
activities. I further agree to reimburse and to make
good to Releasees any loss, damages or costs Releasees
may have to pay as a result of any such action, claim
or demand.
I represent that any medication to which the Minor
is allergic or is currently taking are listed below.
I agree that Minor shall bring medications which
Minor is currently taking with him/her to the Event
and that he/she shall consume the prescribed dosage.
Medications (if any):___________________________________
Allergies (if any}:_____________________________________
I, in my own behalf and on behalf of the Minor, hereby
warrant that I have read this Release and Waiver
in its entirety and fully understand its contents.
1, in my own behalf and on behalf of the Minor, am
aware that this Release and Waiver releases Releasees
from liability and contains an acknowledgement of
my voluntary and knowing assumption of the risk of
injury or illness. 1, in my behalf and on behalf
of the Minor, have signed this document voluntarily
and of my own free will.
Signature of Parent or Legal Guardian:____________________________ Date:________________
I, identified above as Minor, acknowledge that I
have either read or had this Release and Waiver form
read to me.
Signature of Minor:___________________________________________ Date:________________ |
