TiE Young Entrepreneurs

Liability Agreement/Waiver

All TiE Young Entrepreneurs (“TYE”) participants must complete and sign this form before taking any classes with TYE. If participant is under age 18, a parent or guardian must sign this form.

Admission to class will not be granted if this form is not received prior to take a class and must be properly signed.

I,   recognize and understand the risk that an injury may occur in a classroom and I fully assume those risks. I hereby release The Indus Entrepreneurs, TiE Dallas, Inc., and TiE Young Entrepreneurs (collectively, “TiE”), its affiliates, venues, event sponsors, employees and instructors, lecturers, teachers from all liability for injuries sustained or illnesses contracted by me while attending or participating in any classes or workshops. I agree to indemnify, defend, and hold harmless TiE, its affiliates, venues, event sponsors, employees, instructors, lecturers and teachers for liabilities, costs and judgments arising from acts of omissions committed by me which result in injury or damage to any person or property.

In case of physical injury or medical emergency, I hereby authorize TiE to make necessary arrangements to transport my child to a medical treatment facility as necessary. All such transportation and medical treatment will be at my sole cost and expense. I understand that TiE will attempt to notify the person(s) I have named below as my emergency contact(s) of my condition and how to reach me.

In signing this Release, I acknowledge and represent that I have fully informed myself of the content of the waiver and hold harmless agreement by reading it before I sign it, and I understand that I sign this document as my own free act and deed; no oral representations, statements, or inducements, apart from the written statement, have been made. I further state that I am at least eighteen (18) years of age and fully competent to sign this agreement; and that I execute this release for full, adequate, and complete consideration fully intending to be bound by the same. I further state that there are no health-related reasons or problems which preclude or restrict my participation in this activity, and that I will pay any medical costs that may be attendant as a result of injury to me.

TiE reserves the right to use photographs, videos taken either in class or of students participating in class and/or their art, for the purposes of instruction, advertising and promoting TiE and its programs.

Participant full name


Parent/Guardian name

Home address


Emergency Contact name

Relationship to participant

Emergency Numbers

Family Physician Name and Phone

Please list any medical conditions, injuries, allergies

I have read, understood and agree to the terms stated in this release form