Individual Membership

Memberships are sold on a 1-Month or Recurring basis. 1-Month Memberships begin on the date of purchase, and expire after 30 days. Recurring Memberships begin on the date of purchase, and do not expire until you cancel your membership. You will be billed for your membership fee automatically every 30 days, until the membership is cancelled.

Membership Type

Clear

PARTICIPANT NAME(Required)

First Last

ADDRESS(Required)

Street Address City State / Province / Region ZIP / Postal Code

PHONE(Required)

EMAIL(Required)

AGE VERIFICATION(Required)

Please verify your age at the time of the agreement of this contract.

I certify that I am 18 years of age or older.

I am under the age of 18 and require a Parent or Guardian Signature.

PARENT OR GUARDIAN NAME(Required)

First Last

PARENT OR GUARDIAN PHONE(Required)

PARENT OR GUARDIAN EMAIL(Required)

TEAM NAME

Athlete Waiver and Release Form Agreement(Required)

In consideration of being permitted to participate in any “activity” at “The Dugout Texoma” facility, I, for myself, my personal representatives, assignees, heirs and next of kin: 1. ACKNOWLEDGE, agree, and represent that I understand the nature of the “activities” and that I am qualified, in good health, and in proper physical condition to participate in such “activities”. I further agree and warrant that if at any time I believe the conditions at “The Dugout Texoma” facility to be unsafe, I will immediately discontinue further participation in the “activities”. 2. I FULLY UNDERSTAND that: a. ATHLETIC “ACTIVITIES” INVOLVE RISKS AND DANGERS OF SERIOUS INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“RISKS”); b. these risks and dangers may be caused by my own actions or inactions, or the actions or inactions of others participating in the “activities”, the condition in which the “activities” take place, or THE NEGLIGENCE OF THE “RELEASEES” NAMED BELOW; c. there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either known or unknown to me, or not readily foreseeable at this time, and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSES, COSTS, AND DAMAGES that I incur as a result of my participation or that of the minor in the “activities”. 3. I HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE “The Dugout Texoma”, or related affiliated subsidiary companies, as well as officers, directors, agents, employees and assignees, and “The Dugout Texoma” clubs, coaches, officials, administrators, members, volunteers, participants, sponsors, advertisers and if applicable, owners and lessors or the premises on which the “activities” take place, and any other party indemnified and held harmless by “The Dugout Texoma” (considered “RELEASEES” herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT, CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PARTY BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS, NEGLIGENT SECURITY, TRAVEL, AND RECREATIONAL OPERATIONS AND ACTIVITIES; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, I or anyone on my behalf, makes a claim against and of the “RELEASEES”, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS THE “RELEASEES” from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such a claim.

I agree to the Athlete Waiver and Release Form Agreement

Sports Agreement to Participate(Required)

I, or we, grant to the Owners, Directors, Assistants, or assigned chaperons of this event or "activities" to act as guardians/spokesmen in granting permission for emergency treatment/hospitalization (including anesthesia) if necessary for my child en route to our from or at the site of "The Dugout Texoma" facility event or hospital or other medical facility. I understand that should a health emergency arise, I. will be attempted to be notified, but that if I cannot be reached by telephone, such medical treatment as deemed necessary, by competent medical personnel, is authorized. I hereby authorize "The Dugout Texoma" to allow the reproduction, dissemination and/or publication of my name and likeness for media coverage, public relations, or any other purpose which may involve the use of photographs, films and/or video tape recording. This is to be done in conjunctions with my participating in "The Dugout Texoma" sports events, and I understand and agree that I may neither pay a fee to receive individual promotional consideration from my participation in this event, nor will I receive any payment for the possible commercial use of my name or likeness. I HAVE READ THIS AGREEMENT, AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS AGREEMENT, AND FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE, AND INTEND FOR THE AGREEMENT TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

I agree to the Sports Agreement to Participate

Electronic Consent(Required)

By checking this box, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking this box, you. are waiving the right to a paper signature. After consent, you may, upon written request to "The Dugout Texoma", obtain a paper copy of an electronic record. No fee will be charged for such copy, and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer with to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

I agree to the Electronic Consent

PARTICIPANT SIGNATURE(Required)

PARENT OR GUARDIAN SIGNATURE(Required)

Phone

This field is for validation purposes and should be left unchanged.