Waiver, Indemnification, and Medical Treatment Authorization 1. In consideration for receiving permission for my child to participate in Engineering Heroes, 7-11 April 2019 (the “activity”), which is sponsored by Texas A&M University at Qatar, I release, waive, discharge, covenant not to sue, and agree to indemnify Texas A&M at Qatar, Texas A&M University, The Texas A&M University System and its Board of Regents, and their members, officers, servants, agents, volunteers, and employees (“Releasees” or “Indemnitees”) from all liabilities, claims, demands, injuries (including death), or damages, including court costs and attorneys’ fees and expenses, that my child may sustain while participating in the activity, while traveling to and from the activity, or while on the premises owned or leased by Releasees, including injuries resulting from the sole, joint, or concurrent negligence, negligence per se, statutory fault, or strict liability of Releasees. I understand this waiver does not apply to injuries caused by intentional or grossly negligent conduct.
cost to participants; and (b) provide access to a greater number of participants by expending limited resources on program materials rather than on liability insurance. 4. I intend that this agreement bind my family and spouse, if I am alive, and my heirs, assigns, and personal representatives if I am deceased, and be governed by the laws of the State of Texas, U.S.A.
5. I understand Releasees cannot control all of the risks associated with the activity and Releasees may need to respond to accidents and potential emergency situations. Therefore, I consent to any medical treatment that may be required, as determined by medical professionals, during my child’s participation in the activity with the understanding that the cost of any such treatment will be my responsibility. I agree to indemnify Indemnitees for any costs incurred to treat my child, even if an Indemnitee has signed hospital documentation promising to pay for the treatment 2. I am aware that there are inherent risks to my child and due to my inability to sign the documentation. I others involved with the activity, including but not further agree to release, waive, discharge, covenant limited to tripping, first degree burns, dehydration, and not to sue, and agree to indemnify Releasees from all I choose to allow my child to voluntarily participate in liabilities, claims, demands, injuries (including death), the activity with knowledge that the activity may be or damages, including court costs and attorneys’ fees hazardous to my child and to the person and property and expenses, that may be sustained by my child of others. I acknowledge there may be physically while receiving medical care or in deciding to seek strenuous activities. I know of no medical reason why medical care, including while traveling to and from a my child should not participate. I agree to indemnify medical care facility, including injuries resulting from Indemnitees from all liabilities, claims, demands, the sole, joint, or concurrent negligence, negligence injuries (including death), or damages, including court per se, statutory fault, or strict liability of Releasees. costs and attorneys’ fees and expenses, which may I understand this waiver does not apply to injuries occur to my child, other participants, and third-persons caused by intentional or grossly negligent conduct. as a result of my child’s participation in the activity, including injuries resulting from the sole, joint, or 6. I have read this agreement, understand it, and sign concurrent negligence, negligence per se, statutory fault, it voluntarily; Texas A&M at Qatar has not made or strict liability of Indemnitees. and I have not relied on any oral representations, statements, or inducements apart from the terms of 3. I understand that Releasees do not maintain insurance this agreement. I execute this agreement for full and covering any circumstance arising from my child’s adequate consideration intending to be bound by it participation in the activity or any event related to that now and in the future. I understand I can choose not participation. As such, I am aware that I should review to sign this agreement and free myself from its terms my personal insurance coverage. Texas A&M at Qatar and the associated risks of the activity by simply seeks a waiver of claims as additional consideration for not allowing my child to participate in the activity the right to participate so Texas A&M at Qatar, and choosing some other activity that has a lower a governmental unit of the State of Texas, U.S.A., can level of risk. (a) provide the activity at the lowest possible 1
Signing this agreement involves the waiver of valuable legal rights. Consult your attorney before signing this agreement. Child’s Printed Name
Child’s Qatar ID Number Parent or Legal Guardian Signature Parent or Legal Guardian Printed Name Date
Media Release I grant Texas A&M University at Qatar and its officers, servants, agents, volunteers, and employees the irrevocable right to use my child’s likeness (still or moving) or words (written or spoken) for any legal purpose, in any medium, and to allow others to do so. I waive any right that I may have to inspect or approve the finished product in which my child’s image or words are used. I do not expect compensation for the use of my child’s likeness or words. I release Texas A&M at Qatar, Texas A&M University, The Texas A&M University System and its Board of Regents, and their members, officers, servants, agents, volunteers, and employees from any liability related to the use of my child’s likeness or words. Signing this agreement involves the waiver of valuable legal rights. Consult your attorney before signing this agreement. Child’s Printed Name
Child’s Qatar ID Number Parent or Legal Guardian Signature Parent or Legal Guardian Printed Name Date 2