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Preview - Release of Liability Form
Release of Liability Agreement
This Release of Liability Agreement is made and entered into as of the ___ day of __________, 20___, by and between:
Releasor: ______________________ (Name)
Address: ______________________ (Address)
City, State, Zip: ______________________
Releasee: ______________________ (Name of the organization or individual)
Address: ______________________ (Address)
City, State, Zip: ______________________
In consideration of being permitted to participate in _____________ (activity) and other good and valuable consideration, the Releasor hereby agrees as follows:
- The Releasor acknowledges that participation in this activity may involve inherent risks, including but not limited to ____________ (describe risks).
- The Releasor voluntarily assumes all risks of injury, illness, or death that may result from participation in this activity.
- The Releasor agrees to release, waive, and discharge the Releasee from any and all claims, demands, or causes of action that may arise from the Releasor’s participation in this activity.
- This Release of Liability covers all claims, whether caused by the negligence of the Releasee or otherwise, to the fullest extent permitted by the laws of the State of _____________.
The Releasor represents that they are at least 18 years of age, or if under 18, that their parent/legal guardian has signed below. The Releasor understands that this Release is binding upon their heirs, executors, and assigns.
Please indicate your acceptance of the terms of this Release of Liability by signing below:
Releasor Signature: ______________________
Date: ______________________
If Releasor is a minor, Parent/Guardian Signature: ______________________
Date: ______________________
By signing this document, the Releasor acknowledges that they have read and understood the terms of this Release of Liability fully.
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