Test Product 5 AH

Short Description

Select Payment Plan



Amount Due By
$10.00 Initial payment
$5.00 12/01/2016
$5.00 01/01/2017
$5.00 02/01/2017
$5.00 03/01/2017
Total: $30.00
Due Today: $10.00
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I give my permission and approval for the above named child to participate
in the program. Photo Permission:I grant my permission to use my child's photograph, photographic likeness, and /or reproduction thereof, in whatever capacity 86th Force Support see appropriately fit, including, but not limited to exhibitions, illustrations, promotional material and electronic media.

Medical Care Authorization: I hereby authorize my child to receive medical
treatment whenever it is deemed necessary at any U.S. Military Facility or
any other medical facility when a U.S. Military Medical is not available.

Hold and Save Harmless Agreement: Now therefore, in consideration of mutual covenants and agreements between the parties here to it is agreed as follows: We the parents of the above names youth agree to save and hold harmless as well as defend the Base Youth Programs, Services Division's Central Base Fund, Department of Air Force and the contractor from and against any and all claims, demands, actions, debts, liabilities and attorney's fees. Parent further agrees to save and hold harmless the contractor and all other parties involved from and on account of damages of any kind which the youth may suffer as a result of the acts of participating in the program.

TRANSPORTATION/FIELD TRIP: I give Youth Programs permission to transport the above named youth to and from any events that I am notified of in advance.

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In exchange for the license and privilege of access to and/or participation in this event or activity, the undersigned hereby forever releases, holds harmless, waives, discharges, and indemnifies the FC Dallas Soccer Club™, FC Dallas Soccer, LLC, Frisco Stadium, LLC, Major League Soccer, L.L.C., FCD Youth, LLC, FC Dallas Foundation, and their respective affiliates, officers, directors, agents, representatives, sponsors, shareholders, partners, employees, and members (collectively, the “FCD Parties”) from and against any and all liabilities, debts, obligations, costs, expenses, damages, judgments, liens, claims, and demands of any nature or description, in equity or at law, that the undersigned (or his or her heirs or personal representatives) may now have, acquire, own, or hold, or at any time heretofore owned or held, or could or may hereafter own, acquire, or hold against any one or more FCD Parties, known or unknown, suspected or unsuspected, asserted or not, arising out of participation by the undersigned in events or activities conducted by any one or more of the FCD Parties even if the risks and liabilities that the undersigned is releasing arise out of the negligence or carelessness of one or more of the FCD Parties (collectively, the “Released Claims”). This release is specifically intended to be binding on all of the undersigned’s heirs and assigns. The undersigned admits the possibility that the undersigned or his or her successors may not fully know the number or magnitude of all Released Claims, but nevertheless intends to assume all risks by releasing such unknown claims, and agrees that this release is a full and final release and wavier of all Released Claims. The undersigned expressly waives the benefit of any statutory or other provision that creates any exception to the foregoing General Release, Waiver, and Authorization.

The undersigned further grants to the FCD Parties, jointly, for their own benefit and for the benefit of others, the non-exclusive and perpetual right to (a) interview, photograph, or otherwise capture the image of the undersigned, both in still and motion pictures, (b) record the voice of the undersigned, separately and in synchronization with images, by any means known or hereafter discovered, and (c) use and duplicate such photographs or other images, whether in print, videotape, digital, or other formats, and reproduce the voice of the undersigned, separately or together with such images for all purposes. All copies of the undersigned’s image, likeness, and voice created or recorded by the FCD Parties (or their agents) hereunder shall be the exclusive property of the FCD Parties, jointly. The undersigned agrees that the copyright in any work captured by the FCD Parties (or their agents) hereunder shall be the exclusive property of the FCD Parties with all such rights in and to said work having been transferred by the undersigned to the FCD Parties hereby.

The undersigned has read this document, understands the contents, has had the opportunity to obtain legal advice as to its effect, and is under no duress or obligation of any kind to execute it. This General Release and Waiver reflects the understanding of the undersigned with respect to all subject matter addressed herein and will be construed accordingly.

THE UNDERSIGNED UNDERSTANDS THAT ACTIVITIES CONDUCTED BY THE FCD PARTIES ARE INHERENTLY RISKY AND DANGEROUS, AND THE UNDERSIGNED AGREES TO ASSUME ALL RISKS AND DANGERS ASSOCIATED WITH SUCH PARTICIPATION.

$30.00

Full Description

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