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Preview - Georgia Release of Liability Form

Georgia Release of Liability

This Release of Liability is made under the laws of the State of Georgia.

PARTIES:

This Agreement is between:

Releasor: __________________________________________ (Name)

Address: ___________________________________________

City, State, Zip: ________________________________

Releasee: __________________________________________ (Name of Organization or Individual)

Address: ___________________________________________

City, State, Zip: ________________________________

DESCRIPTION OF ACTIVITY:

This release pertains to the following activity:

_____________________________________________________________

RELEASE OF LIABILITY:

In consideration of being allowed to participate in the above-mentioned activity, the Releasor hereby releases, waives, discharges, and holds harmless the Releasee from any and all claims, losses, injuries, or damages arising from or connected with the participation in the activity, even if caused by the negligence of the Releasee.

INDEMNIFICATION:

The Releasor agrees to indemnify and defend the Releasee against any claims arising out of their participation in the activity.

MEDICAL TREATMENT:

In the event of an injury, the Releasor consents to receive medical treatment and understands that they are responsible for any medical costs incurred.

GOVERNING LAW:

This Agreement shall be governed by the laws of the State of Georgia.

SEVERABILITY:

If any provision of this Release is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

ACKNOWLEDGEMENT:

The Releasor acknowledges that they have read this Release of Liability, understand its terms, and voluntarily sign it.

Signature of Releasor: _____________________________

Date: ____________________________________________

Signature of Releasee (if applicable): ______________

Date: ____________________________________________

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