1
Highlands of Plano Preston Ridge
Liability Waiver and Release
LIABILITY WAIVER
AND RELEASE
(instructions on page 2)
In consideration for including the Subject Matter listed below in the Highlands of Plano Preston Ridge Homeowners Association (HOA) homeowners’ newsletter (electronic and website versions) I, ______[homeowner printed name], of ______Plano, TX [address], on behalf of myself and my heirs, wards, minor children, executors, and administrators do hereby forever waive, release, and discharge and agree to indemnify and to hold harmless the HOA and all its respective members, directors, officers, committee members and their successors and assigns, jointly and severally, from any and all responsibility, liability, losses, damages, actions, causes of action, claims, rights, judgments and executions, demands and expenses, of whatever nature or kind, foreseen or unforeseen, known or unknown, direct or indirect, now or hereafter arising, or otherwise, in any way connected with, arising out of, or resulting from such inclusion.
______
Subject Matter [babysitting, piano lessons, etc.]
______, 20____
Homeowner Signature Date
(Guardian if minor involved)
Accepted by:
______, 20____
HOA Representative Date
Instructions
In order to protect the HOA and its Directors, Officers, and Committee members, we ask you to sign the attached LIABILITY WAIVER AND RELEASE before we can accept for inclusion any non-HOA matters in our neighborhood newsletter or website.
As Homeowner (and/or Guardian) please:
· print your name and address in the spaces indicated
· include a brief subject matter where indicated
· sign and date where indicated
· return via facsimile, electronic scan, hand delivery, or U.S. mail to the originator
As HOA Representative (Newsletter or Website Committee Chair) please:
· ensure the form is properly completed
· sign and date as “accepting” HOA Representative
· maintain the completed form in your records and pass along to your successor
Refer any unusual circumstances and/or questions to the HOA President.
12/2009