Planet Troopers Registration Form

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Volunteer for Planet Troopers by completing this form.
Please correct the field(s) marked in red below:

1
Parent's First & Last Name
2
Parent's Address
3
Parent's Phone Number
4
Parent's Email Address
5
Child's Last Name
6
Child's First Name
7
School the Child Will be Attending this Fall
8
Grade the Child Will be Entering this Fall
9
Child's Age
10
Child's T-Shirt Size
Child's T-Shirt Size
11
Cleanups will be 9 a.m. to 11 a.m. on the following dates. Please choose one, or more, date to participate:
Cleanups will be 9 a.m. to 11 a.m. on the following dates. Please choose one, or more, date to participate:
12

 

RELEASE AND WAIVER OF LIABILITY

For the Purposes of this Release and Waiver of liability agreement, Keep Odessa Beautiful refers to Keep Odessa Beautiful, Inc. Undersigned refers to the individual volunteering with Keep Odessa Beautiful and the Volunteer’s parent or guardian if the volunteer is less than 18 years of age.

The Undersigned freely, voluntarily, and without duress executes this Release under the following terms:

In consideration of the acceptance of this entry by Keep Odessa Beautiful in the above project/event, we, the Undersigned, individually and on behalf of our minor child/children, administrators and assigns, release, forever discharge, and hold harmless Keep Odessa Beautiful, its officers, director, employees, agents, successors, and assigns from any and all liability or claims that the Undersigned (or the Undersigned’s heirs or assigns) may have against Keep Odessa Beautiful with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Undersigned’s activities with Keep Odessa Beautiful. THE UNDERSIGNED UNDERSTANDS AND ACKNOWLEDGES THAT THE CLAIMS BEING RELEASED HEREIN INCLUDE, WITHOUT LIMITATION, CLAIMS, IF ANY, BASED ON OR IN ANYWAY RELATED TO THE NEGLIGENCE OR GROSS NEGLIGENCE OF KEEP ODESSA BEAUTIFUL OR ITS OFFICERS, DIRECTOR, EMPLOYEES, OR AGENTS. The Undersigned also understands that Keep Odessa Beautiful does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness. The Undersigned releases and forever discharges Keep Odessa Beautiful from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Undersigned’s activities with Keep Odessa Beautiful. The Undersigned further attests and verifies that they have full knowledge of the risks involved in the project/event, that they individually assume those risks on behalf of themselves and their minor children, and that they will individually without limitations, assume and pay any medical and/or emergency expenses in the event of an accident, injury, illness or other incapacity, regardless of whether they have authorized such expenses.  

Photographic Release: The Undersigned hereby grants and conveys to Keep Odessa Beautiful, successors, and assigns, all right, title, and interest in any and all photographic images and video or audio recordings made by Keep Odessa Beautiful during the Undersigned’s activities with Keep Odessa Beautiful, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs and recordings.

Texas Law: The Undersigned expressly agrees that this Release and Waiver of Liability is intended to be as broad and inclusive as permitted by the laws of the State of Texas and that it shall be governed and interpreted in accordance with the laws of the State of Texas. Furthermore, the Undersigned expressly agrees that if any one or more of the provisions contained in this Release and Waiver of Liability are held to be invalid, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Waiver and Release of Liability, which shall otherwise continue to be enforceable.

          By clicking, "I agree" below you consent that you do hereby assume all risks of injury, which may result from my and my child/children’s participation in the program, and of loss or damage to personal property arising out of or incident to the above-mentioned activity. I further testify that I understand the program of activities in which I and my child/children propose to engage in, have carefully read and understood this Waiver and Indemnity Agreement, and sign this Agreement of my own free will. With this knowledge, I assume whatever risk such activities may entail or accrue to my person, child/children, property, or equipment. 

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