Release of Liability Agreement
The undersigned hereby acknowledges and agrees to the following:
The risk of injury from the activities that are involved with this program are significant and include the potential for permanent paralysis and death,
while measures are put into place such as rules, equipment, and personal discipline may reduce the risk, the risk of serious injury is still present.
I hereby knowingly and freely assume all such risks that are both known and unknown, even if they arise from the negligence of others and assume full
responsibility for my voluntary participation.
I agree to comply with all the stated and customary terms and conditions for the participation in such activities. If I observe any unusual significant
hazard while participating I will bring it to the attention of the nearest official immediately.
I do hereby release, indemnify, and hold harmless the:
Its officers, officials, agents and any of its employees and other participants with respect to any injury, disability, death or loss or damage to personal
property that may arise from the negligence of the releasees to the fullest extent permitted by the law.
I have read this Release of Liability Agreement and fully understand the terms as listed and that I have given up substantial rights by signing it and sign
it freely and voluntarily without any inducement from any party.
Signature: ___________________________________________________________________ Date: ___/___/_____
Print Name: ___________________________________________________________________________________