RELEASE OF LIABILITY | PARTICIPATION  AGREEMENT | Unified ODX
Regarding all TTH programs and functions for the minor noted on this release form. (below)
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Participant's name (first, last) *
Age
*
Grade (upcoming school year) *
Parent / Guardian Name (first, last) *
Email Address  *
Phone (best contact number) *
Photo Release |  
May we (TTH) use your child's image on our social media pages and our website?
*
Unified Sports Community |  
Is your child interested in grassroots, community based Unified sports and social connection opportunities?
*
Waiver of Liability |  
I assume all risks of participating in Titan House programs and functions, including, by way of example and not limitation, any risks that arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.

I certify that my child(s) is physically fit and has not received advise to avoid participation by a qualified medical professional. I certify that theres no health-related reasons or problems which preclude my child’s participation in TTH programs and functions.

I acknowledge that this Accident Waiver and Release of Liability Form will be used by the Titan House, in which my child may participate and that it will govern my actions and responsibilities. With consideration of my application and permitting my child(s) to participate in the programs and functions, I hereby take action for myself, my executors, administrators, heirs, next of kin, and successors.
*
Required
Anything else we should know

Does your child have special needs of any kind? 

Are there any social or personal obstacles that your child wants support with?

Examples: allergies, learning accommodations, necessary physical adaptations, IEP language, social and learning targets.
Mindful of the Mission

As a Titan House participant, it is assumed that you are mindful of our shared commitment to elevate each other to greater levels of personal growth and resilience.  We will all do our best to create spaces that are supportive and offer opportunities that inspire peer and community connection.


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