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Sample Hold Harmless Agreement
RELEASE AND ACCEPTANCE OF RESPONSIBILITY
AND ACKNOWLEDGMENT OF RISKS
ACKNOWLEDGMENT OF
RISKS I understand and acknowledge that the activity that I am about to
engage in bears certain known risks and unanticipated risks which could
result in injury, death, or damage to myself, my property, or to other
third parties. I understand and acknowledge those risks may result in
personal claims against ____________or claims against me by other third
parties.
ACCEPTANCE OF RISK AND
RESPONSIBILITY - Being aware that this activity entails risks of injury
to myself and to third parties as a result of my actions, I agree to
accept and assume all responsibility and risk for injury, death, or
damage to myself or to my property arising from my participation in this
activity. I agree, covenant, and promise to accept and assume all
responsibility and risk for injury, death, or damage to other third
parties and their property arising from my participation in this
activity. My participation in this activity is purely voluntary and I
elect to participate in spite of the risks.
RELEASE - I hereby
voluntarily release____________________, its agents or employees, and
all other persons or entities from any and all liability, claims,
demands, actions or rights of action, which are related to or are in any
way connected with my participation in this activity, including
specifically but not limited to the negligent acts or omissions of
________________________, its agents or employees, and all other persons
or entities, for any and all injury, death, damage to myself or to my
property. I further agree, promise, and covenant to hold harmless and
indemnify _________________, its agents or employees, and all other
persons or entities from all defense costs, including attorney's fees,
or from any other costs incurred in connection with claims for bodily
injury or property damage which I many negligently or intentionally
cause to other third parties in the course of my participation in the
activity. I further agree, promise, and covenant not sue, assert or
otherwise maintain or assert any claim against _____________________,
its agents or employees, and all other persons or entities, for any
injury, death or damage to myself or to my property, arising from or
connected with my participation in this activity or from any claim
asserted against me by other third parties. In signing this document, I
fully recognize that if anyone is hurt or property is damaged while I
engage in this activity, I will have no right to make a claim or file a
lawsuit against _________________, or its officers, agents, or
employees, even if they or any of them negligently caused the bodily
injury or property damage.
EFFECT OF THIS RELEASE
AGREEMENT - I understand and acknowledge that by initiating and/or
signing this document I have given up certain legal rights and/or
possible claims which I might otherwise asset or maintain against
_________________, its agents or employees, and other persons, entities,
including specifically, but not limited to, rights arising from or
claims for the acts or OMISSIONS, negligent in any degree, of
_______________________________, its agents or employees, and all other
persons or entities.
I understand and
acknowledge that by initiating and/or signing this document, I have
assumed responsibility and legal liability for the claims or other legal
demands, including defense costs, which may be asserted by spectators or
other third parties against me as a result of participation in this
activity. I understand that this is the entire Agreement between myself
and _______________, its agents or employees, or agent of ___ or by me.
My signature below indicates that I have read this entire document,
understand it completely, and agree to be bound by its terms.
SIGNATURE__________________________
SIGNATURE OF PARENT OR
GUARDIAN (under 18)_____________________ |
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