Release Of Liability Form - Texas Parks & Wildlife Department (Page 2 of 3) in pdf

Release Of Liability Form - Texas Parks & Wildlife Department Page 2

NEGLIGENCE OR GROSS NEGLIGENCE OF TPWD EMPLOYEES OR

VOLUNTEERS.

I AGREE THAT I AND MY HEIRS, SUCCESSORS AND ASSIGNS WILL NOT

MAKE ANY CLAIM OR INSTITUTE ANY LAWSUIT AGAINST TPWD, ITS

EMPLOYEES OR VOLUNTEERS ARISING FROM MY MINOR CHILD’S

PARTICIPATION IN THE TPWD ACTIVITY.

ON BEHALF OF MY MINOR CHILD, I AGREE THAT HIS/HER PARENTS,

GUARDIANS, HEIRS, SUCCESSORS AND ASSIGNS WILL NOT MAKE ANY

CLAIM OR INSTITUTE ANY LAWSUIT AGAINST TPWD, ITS EMPLOYEES

OR VOLUNTEERS.

I AGREE TO DEFEND AND INDEMNIFY TPWD, ITS EMPLOYEES AND

VOLUNTEERS FROM ANY CLAIM OR LAWSUIT INSTITUTED BY ANY AND

ALL PERSONS ON BEHALF OF MY MINOR CHILD. THIS RELEASE IS

INTENDED TO EXCLUDE TPWD, ITS EMPLOYEES AND VOLUNTEERS

FROM ANY AND ALL LIABILITY.

I give permission for my child to be picked up by the following individual(s) other than myself:

____________________________________

_______________________________________

Name

Phone

____________________________________

_______________________________________

Name

Phone

____________________________________

Date: ___________________________, 20___.

Signature of parent/guardian of minor child

Parent/guardian address and phone number:

______________________________________________________________________________

Sea Center Texas

Camp Release

Page 2

Release Of Liability Form - Texas Parks & Wildlife Department Page 2