2020 YOUTH WAIVER

Today's Date *

Month Day Year
Date Hour Minutes AM/PM Option
YOUTH WAIVER

ONLY for participants under 18 years of age
Are you an adult (at least 18 yrs old with an ID) who is signing up (a) minor (s) for activities at Track 21? (You do not have to be at the Track, just registering a minor. *

Yes No
THIS WAIVER IS ONLY FOR MINORS (UNDER 18 YEARS OF AGE). SINCE YOU HAVE INDICATED YOU DO NOT HAVE ANY MINORS OR ARE NOT OVER 18 YOURSELF THIS WAIVER WILL NOT WORK!

Adult's Information
Adult's Name *

First Name Last Name
Adult's Address *

Street Address

Apt or Ste Number

City State

Zip Code
Phone Number *
Email
Would you like a copy of this waiver emailed to you?
Adult's Birthday *

Month Day Year
Adult's Age
ACCORDING TO THE ADULT BIRTHDAY ENTERED YOU ARE UNDER THE AGE OF 18. IN ORDER TO FILL OUT THIS WAIVER YOU MUST BE ABOVE THE AGE OF 18.
Are you attending an event or a party? Please enter the persons name so we can search for all of you together.
How Many Minor Participants Are you Signing up to Race?
Max 5 Kids!

Child One
What is your relationship to the minor? *
Define relationship of Adult to this specific minor.
Anyone adult who identifies as the "Responsible Party" for the minors and state and has confirmed that they have permission granted from the parents or legal guardians of each minor can sign the waiver for them. By doing so you voluntarily assume all responsibility to any and all outcomes by allowing the minors to participate.
Child 1's Name

First Name Last Name
Child 1's Birthday

Month Day Year
Child 1's age
Is the minor's address same as adults

Yes No
Child 1's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
According to the age you have entered for Child 1 they are over the age of 17 and are not allowed to be on a Minor Waiver.

Please have them fill out the adult waiver instead.
Since Child 1's age is either 16 or 17 they are able to race on the adult track as long as they have their own form of id that proves their age ( such as a drivers license or state ID or passport, etc) Would they like to race on the adult track?

YES! I have my ID and I want to race on the adult track! NO! Not this time!
MINOR'S SIGNATURE

I agree to follow all rules and instructions given by Track 21 officials. I understand that failure to do so can and will result in me not being allowed to participate in certain or all activities. I also agree that the person signing Clear

Child Two
What is your relationship to the minor?
Define relationship of Adult to this specific minor.
Anyone adult who identifies as the "Responsible Party" for the minor and has confirmed that they have permission granted from the parents or legal guardians of each minor can sign the waiver for them. By doing so you voluntarily assume all responsibility to any and all outcomes by allowing the minors to participate.
Child 2's Name

First Name Last Name
Child 2's Birthday

Month Day Year
Child 2's Age
Is the Child 2's address same as adults?

Yes No
Child 2's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
According to the age you have entered for Child 2 they are over the age of 17 and are not allowed to be on a Minor Waiver.

Please have them fill out the adult waiver instead.
Since Child 2's age is either 16 or 17 they are able to race on the adult track as long as they have their own form of id that proves their age ( such as a drivers license or state ID or passport, etc) Would they like to race on the adult track?

YES! I have my ID and I want to race on the adult track! NO! Not this time!
MINOR'S SIGNATURE

I agree to follow all rules and instructions given by Track 21 officials. I understand that failure to do so can and will result in me not being allowed to participate in certain or all activities. I also agree that the person signing Clear

Child Three
What is your relationship to the minor?
Define relationship of Adult to this specific minor.
Anyone adult who identifies as the "Responsible Party" for the minor and has confirmed that they have permission granted from the parents or legal guardians of each minor can sign the waiver for them. By doing so you voluntarily assume all responsibility to any and all outcomes by allowing the minors to participate.
Child 3's Name

First Name Last Name
Child 3's Birthday

Month Day Year
Child 3's age
Is the Child 3's address same as adults?

Yes No
Child 3's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
According to the age you have entered for Child 3 they are over the age of 17 and are not allowed to be on a Minor Waiver.

Please have them fill out the adult waiver instead.
Since Child 3's age is either 16 or 17 they are able to race on the adult track as long as they have their own form of id that proves their age ( such as a drivers license or state ID or passport, etc) Would they like to race on the adult track?

YES! I have my ID and I want to race on the adult track! NO! Not this time!
MINOR'S SIGNATURE

I agree to follow all rules and instructions given by Track 21 officials. I understand that failure to do so can and will result in me not being allowed to participate in certain or all activities. I also agree that the person signing Clear

Child Four
What is your relationship to the minor?
Define relationship of Adult to this specific minor.
Anyone adult who identifies as the "Responsible Party" for the minor and has confirmed that they have permission granted from the parents or legal guardians of each minor can sign the waiver for them. By doing so you voluntarily assume all responsibility to any and all outcomes by allowing the minors to participate.
Child 4's Name

First Name Last Name
Child 4's Birthday

Month Day Year
Child 4's age
Is the Child 4's address same as adults?

Yes No
Child 4's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
According to the age you have entered for Child 4 they are over the age of 17 and are not allowed to be on a Minor Waiver.

Please have them fill out the adult waiver instead.
Since Child 4's age is either 16 or 17 they are able to race on the adult track as long as they have their own form of id that proves their age ( such as a drivers license or state ID or passport, etc) Would they like to race on the adult track?

YES! I have my ID and I want to race on the adult track! NO! Not this time!
MINOR'S SIGNATURE

I agree to follow all rules and instructions given by Track 21 officials. I understand that failure to do so can and will result in me not being allowed to participate in certain or all activities. I also agree that the person signing Clear

Child Five
What is your relationship to the minor?
Define relationship of Adult to this specific minor.
Anyone adult who identifies as the "Responsible Party" for the minor and has confirmed that they have permission granted from the parents or legal guardians of each minor can sign the waiver for them. By doing so you voluntarily assume all responsibility to any and all outcomes by allowing the minors to participate.
Child 5's Name

First Name Last Name
Child 5's Birthday

Month Day Year
Child 5's age
Is the Child 5's address same as adults?

Yes No
Child 5's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
According to the age you have entered for Child 5 they are over the age of 17 and are not allowed to be on a Minor Waiver.

Please have them fill out the adult waiver instead.
Since Child 5's age is either 16 or 17 they are able to race on the adult track as long as they have their own form of id that proves their age ( such as a drivers license or state ID or passport, etc) Would they like to race on the adult track?

YES! I have my ID and I want to race on the adult track! NO! Not this time!
MINOR'S SIGNATURE

I agree to follow all rules and instructions given by Track 21 officials. I understand that failure to do so can and will result in me not being allowed to participate in certain or all activities. I also agree that the person signing Clear

Participant Agreement, Release, and Acknowledgement of Risk
I certify that in order to operate a kart, the minor (s) are at least 52"tall and will participate in all safety briefings. I understand that the minor(s) failure to listen to the briefings may result in injury and understand this is not the fault of Track 21. I agree that if the minor (s) fails to follow any rules, Track 21 will remove them for their own safety. I also agree to constantly monitor and am fully responsible for the minor (s) that I am signing for. At no time will I expect Track 21 or any of its employees to watch over the minor (s)that I am signing for. I also agree to be responsible for all damages caused by the minor (s) whether in an activity or the facility.

AGREE
I certify that in order to operate a kart, the minor (s) are at least 52" tall and will participate in all safety briefings.I understand that the minor (s) failure to listen to the briefings may result in injury and understand this is not the fault of Track 21. I agree that if the minor (s) fails to follow any rules, Track 21 will remove them for their own safety.

AGREE
I understand that if Track 21 employees removes the minor, of whom I am stating that I am responsible for, due to rule infractions I will accept their decisions. I also understand that participate in these activities will expose us to flashing lights, fog, black lights, loud music, racing and many other byproducts used to theme the facility or that maybe a result of the activities. I understand that all of these risks and any more that may not be listed and am voluntarily choosing to participate as well as allowing the minor (s) I am responsible for to participate in spite of any side effects.

AGREE
I acknowledge that go-karting, laser tag and mini golf entails known and unanticipated risks which could result in physical or emotional injury, paralysis, death or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. THE RISKS INCLUDE AMONG OTHER THINGS: Collision with the walls or other fixed objects, equipment failure, my own negligence, collision with other participants, objects or conditions on the track or arena or mini golf surface that may cause me to injury. Furthermore, Track 21 employees have difficult jobs to perform; they seek safety, but they are not infallible. They might be ignorant of a participant’s fitness or abilities. They may give inadequate warnings or instructions

AGREE
I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Track 21 from any and all claims, demands, or causes of action, which are in any way connected with me or my minor (s) participation in this activity or my use of Track 21’s equipment or facilities, including any such claims which allege negligent acts or omissions of Track 21.

AGREE
Should Track 21 or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.I certify that I have adequate insurance to cover any injury or damage I or the minor (s) I have stated I am responsible for, may cause or suffer while participating, or else I agree to bear the cost of such injury or damage myself. I further certify that neither I nor the minor (s) I am responsible for, have no medical or physical conditions which could interfere with my safety in this activity, or else I am willing to assume that the substantive law of that state shall apply in that action without regard to the conflict or law rules of that state.

AGREE
In the event I file a lawsuit against Track 21, I agree to do so solely in the state of Texas, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I also understand that I am signing this on behalf of the minor (s) that I am with and understand that all of the stipulations I agree to also apply to them. I agree that regardless of the relationship I have chosen I will be completely responsible for the care of the minor (s) while they are at Track 21 and completely assume all consequences that may stem from their involvement with any activity at Track 21.

AGREE
PLEASE USE YOUR CAMERA OR UPLOAD A COPY OF YOUR ID! NOT A "SELFIE"! *
Examples: Driver's License, Passport, etc.
In consideration of the above stated Minor (s) being permitted by Track 21 to participate in any and all of its activities and use of its equipment and facilities, I further agree to indemnify and hold harmless Track 21 from any and all claims which are brought by, or on behalf of Minor (s), and which are in any way connected with such use or participation by Minor (s). I also accept the responsibility of the claim and all involved costs should any claim be brought against Track 21. *

By signing above you are agreeing that you are the parent or legal guardian of the above mentioned minor, and that you are legally certified by the state in which you reside to sign the Youth Waiver at Track 21 Indoor Karting. Clear
You are unable to submit your waivers at this time because the age you have entered for CHILD 1 shows that they are 18 years old or above. This waiver is only for drivers who are under the age of 18. Please remove this person from the waiver, or correct the age and resubmit.
You are unable to submit your waivers at this time because the age you have entered for CHILD 2 shows that they are 18 years old or above. This waiver is only for drivers who are under the age of 18. Please remove this person from the waiver, or correct the age and resubmit.
You are unable to submit your waivers at this time because the age you have entered for CHILD 3 shows that they are 18 years old or above. This waiver is only for drivers who are under the age of 18. Please remove this person from the waiver, or correct the age and resubmit.
You are unable to submit your waivers at this time because the age you have entered for CHILD 4 shows that they are 18 years old or above. This waiver is only for drivers who are under the age of 18. Please remove this person from the waiver, or correct the age and resubmit.
You are unable to submit your waivers at this time because the age you have entered for CHILD 5 shows that they are 18 years old or above. This waiver is only for drivers who are under the age of 18. Please remove this person from the waiver, or correct the age and resubmit.
Should be Empty:

YOUTH WAIVER

Participant Agreement, Release, and Acknowledgement of Risk