Waiver

Play Sports dba Play WTR Polo and North Texas Mavericks WAIVER AND RELEASE OF LIABILITY AND INDEMNIFICATION

Participant Information

Participant Name

First Name (required) _______________________________

Last Name (required) _______________________________

Birthdate (required) _______________________________

Parent/Guardian Information

Parent/Guardian Name
Required for participants under 18

First Name _______________________________

Last Name _______________________________

Email (required) _______________________________

Play Sports dba Play WTR Polo and North Texas Mavericks
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT WITH PARENTAL CONSENT ("AGREEMENT")

IN CONSIDERATION of being permitted to participate in any way in any Play Sports dba Play WTR Polo and North Texas Mavericks activity, program, practice, clinic, camp, tournament, competition, training session, team activity, or other event ("Activity") at any time during the current calendar year, I, for myself, my personal representatives, assigns, heirs, and next of kin, agree as follows:

1. ACKNOWLEDGMENT OF PARTICIPATION AND CONDITION

I ACKNOWLEDGE, agree, and represent that I understand the nature of the Activity and that I am qualified, in good health, and in proper physical condition to participate in the Activity.

I understand that participation in water polo and related aquatic activities requires physical exertion and may involve swimming, treading water, underwater activity, physical contact, competitive play, rapid changes in direction, jumping, diving, and other strenuous activities.

I agree that if, at any time, I believe the conditions are unsafe or that I am unable to safely participate, I will immediately discontinue participation and notify the appropriate PlayWTRPolo coach, staff member, official, or other responsible person.

2. ASSUMPTION OF RISK

I FULLY UNDERSTAND that participation in water polo and related Activities involves inherent risks and dangers of serious bodily injury, including but not limited to permanent disability, paralysis, drowning, near-drowning, head or neck injuries, broken or fractured bones, muscle or ligament injuries, concussions and other traumatic injuries, cardiac or other medical emergencies, and death ("Risks").

I understand that these Risks may arise from or be caused by:

My own actions or inactions;
The actions or inactions of other participants, coaches, staff, officials, volunteers, spectators, or other persons;
Physical contact that is inherent in water polo;
Swimming, diving, treading water, underwater activity, and other aquatic activities;
Collisions with other participants, pool walls, lane lines, goals, equipment, or other objects;
The use or condition of pool, athletic, training, or other facilities;
Wet, slippery, or otherwise hazardous surfaces;
Water conditions, pool conditions, weather, or environmental conditions;
Equipment failure or improper use of equipment;
Travel to or from an Activity;
Emergency medical treatment or negligent rescue operations; and
The NEGLIGENCE OF THE RELEASEES, as defined below.

I further understand that there may be other risks, including social and economic losses, that are not known to me or are not readily foreseeable at this time.

I FULLY ACCEPT AND ASSUME ALL SUCH RISKS and all responsibility for losses, costs, damages, injuries, or other consequences that I may incur as a result of my participation, or the participation of the minor, in the Activity.

3. RELEASE, WAIVER, AND COVENANT NOT TO SUE

I HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE Play Sports dba Play WTR Polo and North Texas Mavericks, its owners, members, managers, officers, directors, employees, coaches, instructors, staff, agents, volunteers, contractors, representatives, affiliated organizations, participating teams, event organizers, officials, referees, lifeguards, rescue personnel, medical personnel, sponsors, advertisers, facility owners and operators, facility managers, lessors and lessees, and other persons or entities involved in providing or conducting the Activity (collectively, the "RELEASEES") from all liability, claims, demands, losses, damages, expenses, or causes of action arising out of or relating to my participation in the Activity.

This release includes claims caused, or alleged to be caused, in whole or in part by the NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by applicable law, including claims arising from negligent rescue operations or emergency response.

I understand and agree that this release is intended to be as broad and inclusive as permitted by applicable law.

I FURTHER AGREE that if, despite this Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement, I, the minor participant, or anyone acting on my or the minor's behalf makes a claim against any of the Releasees, I WILL INDEMNIFY, DEFEND, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from and against any litigation expenses, attorneys' fees, losses, liabilities, damages, judgments, or costs incurred as a result of such claim, to the fullest extent permitted by applicable law.

4. RULES AND CONDUCT

I agree to follow all rules, instructions, policies, and safety requirements established by Play Sports dba Play WTR Polo and North Texas Mavericks, its coaches, staff, officials, facility operators, and event organizers.

I understand that PlayWTRPolo may remove me from an Activity or deny participation if my conduct creates a safety risk to myself or others, or if I fail to follow applicable rules or instructions.

I agree to contribute to a positive, respectful, and inclusive environment for all participants, coaches, staff, officials, and families.

5. MEDICAL TREATMENT AND EMERGENCIES

I authorize Play Sports dba Play WTR Polo and North Texas Mavericks personnel, coaches, staff, volunteers, event officials, or emergency personnel to obtain or provide reasonable emergency medical assistance for me or the minor participant if I or the minor participant becomes ill or injured during an Activity.

I understand that PlayWTRPolo does not provide health or medical insurance for participants and that I am responsible for all medical expenses or other costs resulting from participation in the Activity.

I understand that PlayWTRPolo personnel may contact emergency medical services when they reasonably believe emergency care is necessary.

6. PARTICIPATION OF MINORS

For any participant under the age of 18, the participant's parent and/or legal guardian must complete the Minor Release section below.

I understand that water polo is a physically demanding and potentially hazardous sport and that a parent or legal guardian should consider the participant's age, physical condition, swimming ability, experience, and capabilities before permitting participation.

7. PHOTOGRAPHY AND VIDEO

I understand that photographs, video, or other recordings may be taken during Play Sports dba Play WTR Polo and North Texas Mavericks Activities for legitimate organizational, promotional, educational, social media, website, or marketing purposes.

By participating in an Activity, I grant PlayWTRPolo permission to use photographs, video, or other recordings of me, or of the minor participant for whom I am providing consent, for these purposes without compensation, unless I notify PlayWTRPolo in writing that I do not grant such permission.

8. ACKNOWLEDGMENT AND INTENT

I ACKNOWLEDGE THAT I AM 18 YEARS OF AGE OR OLDER, HAVE READ THIS AGREEMENT, AND FULLY UNDERSTAND ITS TERMS.

I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL LEGAL RIGHTS BY SIGNING THIS AGREEMENT.

I HAVE SIGNED THIS AGREEMENT FREELY AND VOLUNTARILY, WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE OF ANY NATURE.

I INTEND THIS AGREEMENT TO CONSTITUTE A COMPLETE AND UNCONDITIONAL RELEASE OF LIABILITY TO THE GREATEST EXTENT PERMITTED BY LAW.

If any portion of this Agreement is determined to be invalid or unenforceable, the remaining provisions shall continue in full force and effect to the greatest extent permitted by law.

Participant Agreement, 18 years and older

Participant: By signing my name below, I acknowledge that I have read, understand, and agree to the above Waiver and Release of Liability, Assumption of Risk, and Indemnification Agreement.

Please sign your name below to indicate that you agree to the terms outlined above.

Signature (required)_____________________________________

Today's Date (required)_________________________

MINOR RELEASE AND PARENTAL CONSENT

This section must be completed by the parent and/or legal guardian of any participant under the age of 18.

By checking the applicable box(es) below, I, the undersigned parent and/or legal guardian, agree to the terms of this Minor Release and Parental Consent.

I REPRESENT that I am the parent and/or legal guardian of the minor participant named above and have the legal authority to provide consent for the minor's participation in PlayWTRPolo Activities.

I UNDERSTAND THE NATURE OF THE ACTIVITY, including the physical demands and inherent risks associated with water polo, swimming, aquatic activities, physical contact, competition, training, camps, clinics, tournaments, and related Activities.

I understand the minor's experience, swimming ability, physical condition, and capabilities and believe the minor is qualified, in good health, and in proper physical condition to participate.

I UNDERSTAND that participation may involve serious risks, including but not limited to drowning, near-drowning, head and neck injuries, concussions, broken bones, other bodily injuries, permanent disability, paralysis, medical emergencies, and death.

To the fullest extent permitted by applicable law, I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY, DEFEND, SAVE, AND HOLD HARMLESS Play Sports dba Play WTR Polo and North Texas Mavericks, its owners, members, managers, officers, directors, employees, coaches, instructors, staff, agents, volunteers, contractors, representatives, affiliated organizations, participating teams, event organizers, officials, referees, lifeguards, rescue personnel, medical personnel, sponsors, advertisers, facility owners and operators, facility managers, lessors and lessees, and other persons or entities involved in providing or conducting the Activity (collectively, the "RELEASEES") from and against all liability, claims, demands, losses, damages, expenses, or causes of action arising out of or relating to the minor's participation in the Activity.

This release includes claims caused, or alleged to be caused, in whole or in part by the NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by applicable law, including negligent rescue operations or emergency response.

I FURTHER AGREE that if, despite this Release, I, the minor participant, or anyone acting on behalf of the minor makes a claim against any of the Releasees, I WILL INDEMNIFY, DEFEND, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorneys' fees, losses, liabilities, damages, judgments, or costs incurred as a result of such claim, to the fullest extent permitted by applicable law.

I authorize Play Sports dba Play WTR Polo and North Texas Mavericks personnel, coaches, staff, volunteers, event officials, or emergency personnel to obtain or provide reasonable emergency medical assistance for the minor participant if the minor becomes ill or injured during an Activity. I understand that I am responsible for any medical expenses resulting from such care.

I ACKNOWLEDGE THAT I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS ON BEHALF OF MYSELF AND, TO THE EXTENT PERMITTED BY LAW, THE MINOR PARTICIPANT.

I HAVE SIGNED THIS AGREEMENT FREELY AND VOLUNTARILY AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF LIABILITY TO THE GREATEST EXTENT PERMITTED BY LAW.