Hold Harmless, Indemnity and Release. In consideration of permission for me to voluntarily participate in (name of activity) , today and on all future dates, I, for myself, my heirs, personal representatives or assigns, agree to defend, hold harmless, indemnify and release the Board of Regents of the University of Wisconsin System, the University of Wisconsin-Madison, the (list other groups needing to be named) and their officers, employees, agents, and volunteers, from and against any and all claims, demands, actions, or causes of action of any sort on account of damage to personal property, or personal injury, or death which may result from my participation in the above-listed program. This release includes claims based on the negligence of the Board of Regents of the University of Wisconsin System, the University of Wisconsin-Madison, the (list other groups) and their officers, employees, agents, and volunteers, but expressly does not include claims based on their intentional misconduct or gross negligence. I understand that by agreeing to this clause I am releasing claims and giving up substantial rights, including my right to sue. Signature: Date: ____________________
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Samples: businessservices.wisc.edu
Hold Harmless, Indemnity and Release. In consideration of permission for me to voluntarily participate in (name of activity) Fourth Annual Waisman Whirl Run, Walk & Roll for All Abilities, today and on all future dates, I, for myself, my heirs, personal representatives or assigns, agree to defend, hold harmless, indemnify and release the Board of Regents of the University of Wisconsin System, the University of Wisconsin-Madison, the (list other groups needing to be named) Alpha Gamma Rho, and their officers, employees, agents, and volunteers, from and against any and all claims, demands, actions, or causes of action of any sort on account of damage to personal property, or personal injury, or death which may result from my participation in the above-above- listed program. This release includes claims based on the negligence of the Board of Regents of the University of Wisconsin System, the University of Wisconsin-Madison, the (list other groups) and their officers, employees, agents, and volunteers, but expressly does not include claims based on their intentional misconduct or gross negligence. I understand that by agreeing to this clause I am releasing claims and giving up substantial rights, including my right to sue. Signature: Date: ____________________:
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Samples: d1kfvbhbb36r03.cloudfront.net
Hold Harmless, Indemnity and Release. In consideration of permission for me to voluntarily participate in (name STEM ROV Club of activity) Central Wisconsin, today and on all future dates, I, for myself, my heirs, personal representatives or assigns, agree to defend, hold harmless, indemnify and release the Board of Regents of the University of Wisconsin System, the University of Wisconsin-MadisonWisconsin Xxxxxxx Point at Wausau, the (list other groups needing to be named) and their officers, employees, agents, and volunteers, from and against any and all claims, demands, actions, or causes of action of any sort on account of damage to personal property, or personal injury, or death which may result from my participation in the above-listed program. This release includes claims based on the negligence of the Board of Regents of the University of Wisconsin System, the University of Wisconsin-MadisonWisconsin Xxxxxxx Point at Wausau, the (list other groups) and their officers, employees, agents, and volunteers, but expressly does not include claims based on their intentional misconduct or gross negligence. I understand that by agreeing to this clause I am releasing claims and giving up substantial rights, including my right to sue. Signature: Date: ____________________Signature of Parent or Guardian (if Participant is Under 18): Date:
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Samples: www.uwsp.edu
Hold Harmless, Indemnity and Release. In consideration of permission for me to voluntarily participate in (name of activityUWSP July 2021 Summer Volleyball Camp(s) , today and on all future dates, I, for myself, my heirs, personal representatives or assigns, agree to defend, hold harmless, indemnify and release the Board of Regents of the University of Wisconsin System, the University of Wisconsin-MadisonWisconsin- Xxxxxxx Point, the (list other groups needing to be named) and their officers, employees, agents, and volunteers, from and against any and all claims, demands, actions, or causes of action of any sort on account of damage to personal property, or personal injury, or death which may result from my participation in the above-listed program. This release includes claims based on the negligence of the Board of Regents of the University of Wisconsin System, the University of Wisconsin-MadisonXxxxxxx Point, the (list other groups) and their officers, employees, agents, and volunteers, but expressly does not include claims based on their reckless and intentional misconduct or gross negligence. I understand that by agreeing to this clause I am releasing claims and giving up substantial rights, including my right to sue. Signature: Date: ____________________Signature of Parent or Guardian (if Participant is Under 18): Date:
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Samples: www.pointersvolleyballcamps.com