Information And Application Packet Page 12
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19Texarkana College Fire Academy
Waiver of Liability
(Applicant)
I, _____________________________________________, as a trainee wishing to enroll in
Print Full Name
Texarkana College Fire Academy, and in consideration of the privilege of enrolling in said
academy, agree to the following:
I recognize that firefighter training involves certain inherent dangers of liability,
accident, and injury.
I agree to assume all the risks and liability attendant to such activity and further
stipulate that Texarkana College and the City of Texarkana, Texas are held harmless and
released from any and all liability, claims, suits, demands, or causes of action which may
arise from the attendance of the prescribed training program.
I stipulate that I am attending this academy voluntarily and not under any compulsion
from Texarkana College.
I agree that I will maintain medical injury insurance or that I will pay for my own medical
expenses, should I incur such expenses.
I agree that the execution of this release shall not constitute a waiver by Texarkana
College of the defense of governmental immunity, where applicable, or any other
defense recognized by the courts of this state.
________________________________________
____________________
Signature
Date
Certification:
Before me, a Notary Public in and for the County of
_________________, ________________,
County
State
On this day personally appeared ___________________________ acting in his/her capacity as a
trainee of Texarkana College Fire Academy known to me to be the person whose name is
subscribed to the forgoing instrument and acknowledged to me that he is authorized and does
execute for the purposes and consideration therein expressed.
Given under my hand and seal of office, at
_________________________________________,
City
________________ County, _____________, this ________ day of _______________, 20_____
County
State
________________________________________
My Commission Expires: ______________
Notary Public
Seal:
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