Parental Authorization / Liability Waiver and Release


Dec 12, 2018 12:26 AM



1. Program: I desire for my child to participate in activities provided by the ChampionsTX / Champions Academy, Inc. and its programs.

2. Risks: I understand the nature of the physical demands of such activities. I understand that the physical demands of such activities, as well as the activities themselves, may result in injury to my child, and that such injury may be severe.  I have made ChampionsTX / Champions Academy, Inc. and its programs aware of any and all medical and physical conditions that might affect my child's participation. I understand that reasonable procedures are employed by ChampionsTX / Champions Academy, Inc. and its programs but that unforeseen circumstances or accidental events may occur, for which ChampionsTX / Champions Academy, Inc. and its programs its officers, agents, representatives, coaches, volunteers, and employees cannot be held responsible. I hereby assume all ordinary risks normally incidental to the nature of this activity and program, including those risks which are not foreseeable.  I, the undersigned parent or guardian of the above named student(s), do hereby grant authority to the staff of ChampionsTX / Champions Academy, Inc. and its programs to render a judgement concerning medical assistance in the event of an accident or illness during my absence.

3. Release: I unconditionally waive and release the ChampionsTX / Champions Academy, Inc. and its programs its officers, agents, representatives, coaches, volunteers, and employees, and agree to hold said persons harmless from any and all claims, rights, or causes of action which may be asserted against ChampionsTX / Champions Academy, Inc. and its programs, its officers, agents, representatives, coaches, volunteers, and employees by any person as the result of any injuries, expenses, loss of compensation, or loss of experience as a direct or indirect result of the use of the services, facilities, instruction, or premises of the ChampionsTX / Champions Academy, Inc. and its programs or as a direct or indirect result of my child's participation, or from any negligence on the part of the ChampionsTX / Champions Academy, Inc. and its programs including any act or failure to act.

4. Indemnification: I unconditionally promise and agree to indemnify ChampionsTX / Champions Academy, Inc. and its programs and its officers, agents, representatives, coaches, volunteers, and employees and to hold said persons harmless from any and all claims, rights, or causes of action which may be asserted against ChampionsTX / Champions Academy, Inc. and its programs its officers, agents, representatives, coaches, volunteers, and employees by any person as the result of any injuries (regardless of severity), expenses, loss of compensation, or loss of experience as a direct or indirect result of the use of the services, facilities, instructions, or premises of ChampionsTX / Champions Academy, Inc. and its programs or from any negligence on the part of ChampionsTX / Champions Academy, Inc. and its programs including any act or failure to act. This agreement to indemnify includes any and all money paid by  ChampionsTX / Champions Academy, Inc. and its programs its officers, agents, representatives, coaches, volunteers, or employees to, or charged by, any person (whether by virtue of a settlement or in litigation), including attorney's fees for any parties to the claim, demand, or litigation.

5. No Liability Insurance: I have been informed and am aware that ChampionsTX / Champions Academy, Inc. and its programs does not provide, nor is any member of my family covered by, any policy of liability insurance which would otherwise serve to compensate members of my family in the event of an injury, expense, loss of compensation, loss of service or other damage (general or special) which I or any member of my family may experience as a direct or indirect result of the use of services, facilities, instructions, or premises of ChampionsTX / Champions Academy, Inc. and its programs or from any negligence on the part of ChampionsTX / Champions Academy, Inc. and its programs its officers, agents, representatives, coaches, volunteers, or employees, including any act or failure to act.

6. Consideration: I hereby acknowledge the validity and adequacy of the consideration for this release being the offering and provision of ChampionsTX / Champions Academy, Inc. and its programs.

7. Binding Effect: This agreement is binding upon me and upon my spouse, heirs, assigns, dependents, personal representatives, attorneys, and my estates. This agreement is also binding upon my child or children on whose behalf it is executed and upon any legal guardian thereof.

8. Entire Agreement: This document constitutes the entire agreement between ChampionsTX / Champions Academy, Inc. and its programs and the undersigned regarding the subjects covered hereby. All previous agreements, oral or written, are superseded and there exist no further oral or written representatives, promises, assurances, or statements of any kind affecting this agreement except those which are expressly set forth in this document.

PERMISSION TO POST PHOTOS/VIDEO - I give ChampionsTX / Champions Academy, Inc. and its programs permission to take instructional and promotional pictures and videos of my child in the gym during class.  I give permission for Champions to use photos/videos of my student(s) in promotional materials, on our website or in electronic social media for the Champions community.  I agree that my child's first name may be revealed in descriptive text of commentary in connection with the image(s).  I authorize the use of these images without compensation to me.  All images shall remain the property of ChampionsTX.  **(If you do not choose to give permission to photos/videos you may provide temporary approval in order to complete your online registration and then will out a form to override this clause by emailing Accounts@ChampionsTX.com)**