REPUBLIC LASER THERAPY
Parsons Sports Ranch Baseball Event
February 28 – March 2 | March 7 – 9, 2026
PARENTAL CONSENT & LIABILITY WAIVER
This form must be completed by a parent or legal guardian for any participant under the age of 18 receiving low-level laser therapy (LLLT) services at the Parsons Sports Ranch Baseball Event.
1. About the Treatment
Republic Laser Therapy provides low-level laser therapy (LLLT), also known as photobiomodulation therapy. This is a non-invasive, painless treatment that uses specific wavelengths of light to support muscle recovery, reduce inflammation, and relieve pain. Sessions are 15 minutes in duration and are applied externally to targeted body areas.
LLLT is not a medical treatment and does not diagnose, treat, cure, or prevent any medical condition. It is a wellness and recovery service.
2. Assumption of Risk
I understand and acknowledge that while low-level laser therapy is considered safe and non-invasive, as with any wellness service, there may be minor risks including temporary skin sensitivity or mild discomfort. I voluntarily assume all risks associated with my child's participation in this treatment.
3. Release of Liability
By signing below, I, as parent or legal guardian, hereby release, waive, and discharge Republic Laser Therapy, its owners, staff, agents, and representatives from any and all claims, damages, injuries, or losses arising from or related to my minor child's participation in laser therapy services at Parsons Sports Ranch, whether caused by negligence or otherwise.
4. Media Release (Optional)
Republic Laser Therapy may photograph or video treatment sessions for educational or marketing purposes.
☐ I DO consent to photos/video of my child being used for marketing purposes.
☐ I DO NOT consent to photos/video of my child being used for marketing purposes.
5. Minor Participant Information
Minor's Full Name
Date of Birth
Team / Club Name
Area(s) to be Treated
Known Allergies / Conditions
Emergency Contact Phone
6. Parental / Guardian Consent & Signature
By signing below, I confirm that I am the parent or legal guardian of the minor named above, that I have read and understood this entire document, and that I consent to my child receiving low-level laser therapy services from Republic Laser Therapy at Parsons Sports Ranch.
Parent / Guardian Printed Name:______________
Date:___________
Parent / Guardian Signature:_______________
Date:_______________
Relationship to Minor:_____________
Date:_____________
Republic Laser Therapy | republiclasertherapy.com | Waco, TX | 254-433-7790
This waiver is valid for all treatment sessions at the Parsons Sports Ranch.