Common use of RELEASE AND WAIVER OF LIABILITY Clause in Contracts

RELEASE AND WAIVER OF LIABILITY. In consideration of being granted an opportunity to enter the premises at Swan Cycle Park, Inc. in Tyler, TX, and intending to be legally bound hereby agree: I, for myself, my heirs, personal representatives, and assigns, HEREBY RELEASE, DISCHARGE AND AGREE TO HOLD HARMLESS AND INDEMNIFY Swan Cycle Park, Inc., the promoters, the property owners, and the officers, directors, officials, representatives, advertisers, sponsors, agents, workers, and employees of all of them, OF AND FROM ALL LIBILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION that may otherwise accrue FROM ANY LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MY PERSON OR PROPERTY, that in any way results from my activities while on the premises at Swan Cycle Park, Inc., from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons. I KNOW THE RISK & DANGER TO MYSELF AND PROPERTY while upon said premises or while operating my motorcycle or ATV and I DO SO VOLUNTARILY AND IN RELIANCE, not upon property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, and I thereby ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable to the negligence of others. I FULLY UNDERSTAND THAT MOTORCYCLE RIDING IS DANGEROUS AND THAT THERE IS NO MEDICAL INSURANCE PROVIDED. YES, I HAVE READ THIS RELEASE. Parent or Adult (Print) Signature Date BLACK OR DARK BLUE INK ONLY Parent or Adult (Print) Signature Date PARENTS RELEASE AND WAIVER OF LIABILITY FOR MINORS To be completed if any Member/ Rider is under 18 years of age. I am the parent or legal guardian of (Print All Minor Rider’s Names) If married, I have the authority of my spouse to sign this agreement as the spouse’s agent and on the spouse’s behalf. I understand that my signature, under oath, may subject me to penalties of perjury if any of the above statements are not true and correct. In consideration of and as inducement to, Swan Cycle Park, Inc. permitting my child (the rider) to participate in a motorsports activities on the property of Swan Cycle Park, Inc., I for myself, my spouse (if married), my heirs, personal representatives and assigns to waive and release any and all damages and claims for which I, or they may have against Swan Cycle Park, Inc., or any of their officers, directors, workers, or employees of or by reason of any loss, damage or injury (including death) which may occur to my child and further for myself, my heirs, personal representatives, assigns, and my spouse (if married) I do agree hereby to indemnify and save harmless Swan Cycle Park, Inc., their heirs, successors and assigns, and their officers, directors, workers, employees, sponsors and all others associated with the event from any and all liability, loss, claims, demands and possible causes of action that may accrue to myself, my spouse (if married), or my child by reason of participating in activities at Swan Cycle Park, Inc.

Appears in 3 contracts

Samples: Practice Membership Agreement, Practice Membership Agreement, Practice Membership Agreement

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RELEASE AND WAIVER OF LIABILITY. In consideration of being granted an opportunity to enter the premises at Swan Cycle ParkBEING FULLY INFORMED AND AWARE OF THE RISKS AND IN CONSIDERATION OF HSTT ALLOWING MY PARTICIPATION IN THESE ACTIVITIES, Inc. in TylerUNDER THE TERMS SET FORTH HEREIN, TX, and intending to be legally bound hereby agree: I, for myselfTHE VOLUNTEER, my heirsFOR MYSELF, personal representativesHEIRS, and assignsADMINISTRATORS, PERSONAL REPRESENTATIVES OR ASSIGNS, DO AGREE TO HEREBY RELEASE HSTT, ITS AGENTS, EMPLOYEES, PERSONNEL, OFFICERS/DIRECTORS, PREMISES OWNERS, REPRESENTATIVES, AND INSURERS (“ASSOCIATES”) FROM ANY AND ALL LIABILITY, INCLUDING ANY WHICH MAY BE DUE TO HSTT'S NEGLIGENCE OR CARELESSNESS, RELATING TO MY PARTICIPATION IN HSTT’S VOLUNTEER PROGRAM. I DO FURTHER AGREE THAT EXCEPT IN THE EVENT OF HSTT'S GROSS NEGLIGENCE OR WILLFUL MISCONDUCT, I SHALL BRING NO CLAIMS, DEMANDS, ACTIONS AND CAUSES OF ACTION, AND/OR LITIGATION, AGAINST HSTT AND/OR ITS ASSOCIATES, FOR ANY ECONOMIC AND/OR NON- ECONOMIC LOSSES WHATSOEVER SUSTAINED BY ME IN CONNECTION WITH THE PREMISES, SERVICES AND OPERATIONS OF HSTT AND/OR ANY RELATED ACTIVITIES, INCLUDING WITHOUT LIMITATION, WHILE VOLUNTEERING, HANDLING, OR OTHERWISE BEING NEAR ANIMALS OWNED BY OR IN THE CARE, CUSTODY AND CONTROL OF HSTT. • Waiver of California Civil Code Section 1542: Further, I am advised that California Civil Code § 1542 provides that: A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR AT THE TIME OF EXECUTING THE RELEASE, DISCHARGE AND AGREE TO HOLD HARMLESS AND INDEMNIFY Swan Cycle Park, Inc., the promoters, the property owners, and the officers, directors, officials, representatives, advertisers, sponsors, agents, workers, and employees of all of them, OF AND FROM ALL LIBILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION that may otherwise accrue FROM ANY LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MY PERSON OR PROPERTY, that in any way results from my activities while on the premises at Swan Cycle Park, Inc., from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons. I KNOW WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY AFFECTED HIS SETTLEMENT WITH THE RISK & DANGER TO MYSELF AND PROPERTY while upon said premises or while operating my motorcycle or ATV and I DO SO VOLUNTARILY AND IN RELIANCE, not upon property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, and I thereby ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable to the negligence of others. I FULLY UNDERSTAND THAT MOTORCYCLE RIDING IS DANGEROUS AND THAT THERE IS NO MEDICAL INSURANCE PROVIDED. YES, I HAVE READ THIS RELEASE. Parent or Adult (Print) Signature Date BLACK OR DARK BLUE INK ONLY Parent or Adult (Print) Signature Date PARENTS RELEASE AND WAIVER OF LIABILITY FOR MINORS To be completed if any Member/ Rider is under 18 years of age. I am the parent or legal guardian of (Print All Minor Rider’s Names) If married, I have the authority of my spouse to sign this agreement as the spouse’s agent and on the spouse’s behalf. I understand that my signature, under oath, may subject me to penalties of perjury if any of the above statements are not true and correct. In consideration of and as inducement to, Swan Cycle Park, Inc. permitting my child (the rider) to participate in a motorsports activities on the property of Swan Cycle Park, Inc., I for myself, my spouse (if married), my heirs, personal representatives and assigns to waive and release any and all damages and claims for which I, or they may have against Swan Cycle Park, Inc., or any of their officers, directors, workers, or employees of or by reason of any loss, damage or injury (including death) which may occur to my child and further for myself, my heirs, personal representatives, assigns, and my spouse (if married) I do agree hereby to indemnify and save harmless Swan Cycle Park, Inc., their heirs, successors and assigns, and their officers, directors, workers, employees, sponsors and all others associated with the event from any and all liability, loss, claims, demands and possible causes of action that may accrue to myself, my spouse (if married), or my child by reason of participating in activities at Swan Cycle Park, Inc.DEBTOR.

Appears in 1 contract

Samples: Volunteer Agreement

RELEASE AND WAIVER OF LIABILITY. I understand in regards to my volunteer activities under the Adopt-A-Trail Litter Cleanup Program. I am not employed or an agent of the City of Wichita Falls and I am not covered by any insurance or worker’s compensation coverage by virtue of the Cleanup Agreement or by my participation in the Program. I fully understand that there is a risk whenever I am on the Trail right-of-way, or near traffic. I fully understand the risks of picking up litter along City Trails and; the proximity to vehicular traffic; hidden and latent objects, insects, wildlife and holes. I recognize that participation in this activity on City of Wichita Falls property is a hazardous activity which is inherently dangerous. I agree to the extent possible to stay off of City streets while collecting trash; to be alert to traffic on, entering and exiting City Trails; to avoid grass cutting and construction activities on or nearby City trails; and to follow the instructions, terms, conditions and recommendations on the City of Wichita Falls’ informational handouts. I have voluntarily entered the event despite all known and unknown risks of serious personal injury and/or death presented by preparing for and participating in this event. In consideration of being granted an opportunity permitted to enter the premises at Swan Cycle Park, Inc. in Tyler, TX, and intending to be legally bound hereby agree: I, for myself, my heirs, personal representatives, and assigns, HEREBY RELEASE, DISCHARGE AND AGREE TO HOLD HARMLESS AND INDEMNIFY Swan Cycle Park, Inc., the promoters, the property owners, and the officers, directors, officials, representatives, advertisers, sponsors, agents, workers, and employees City of all of them, OF AND FROM ALL LIBILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION that may otherwise accrue FROM ANY LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MY PERSON OR PROPERTY, that in any way results from my activities while on the premises at Swan Cycle Park, Inc., from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons. I KNOW THE RISK & DANGER TO MYSELF AND PROPERTY while upon said premises or while operating my motorcycle or ATV and I DO SO VOLUNTARILY AND IN RELIANCE, not upon Wichita Falls property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, and I thereby ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable to the negligence of others. I FULLY UNDERSTAND THAT MOTORCYCLE RIDING IS DANGEROUS AND THAT THERE IS NO MEDICAL INSURANCE PROVIDED. YES, I HAVE READ THIS RELEASE. Parent or Adult (Print) Signature Date BLACK OR DARK BLUE INK ONLY Parent or Adult (Print) Signature Date PARENTS RELEASE AND WAIVER OF LIABILITY FOR MINORS To be completed if any Member/ Rider is under 18 years of age. I am the parent or legal guardian of (Print All Minor Rider’s Names) If married, I have the authority of my spouse to sign this agreement as the spouse’s agent and on the spouse’s behalf. I understand that my signature, under oath, may subject me to penalties of perjury if any of the above statements are not true and correct. In consideration of and as inducement to, Swan Cycle Park, Inc. permitting my child (the rider) to participate in a motorsports activities on the property of Swan Cycle Park, Inc., I for myself, my spouse (if married), my heirs, personal representatives and assigns to waive and release any and all damages and claims for which I, or they may have against Swan Cycle Park, Inc., or any of their officers, directors, workers, or employees of or by reason of any loss, damage or injury (including death) which may occur to my child and further for myself, my heirs, personal representatives, assigns, and my spouse (if married) I do agree hereby to indemnify and save harmless Swan Cycle Park, Inc., their heirs, successors and assigns, herby release the City of Wichita Falls and their officers, directorsagents and employees from all claims, workersand causes of action for any all liability regarding, employees, sponsors and all others associated with the event from any and all liability, loss, claimsdamage, demands and possible causes of action injury or expense that I may accrue to myself, my spouse (if married)suffer, or that my child by reason next of participating kin may suffer which may result from my participation in activities at Swan Cycle Parkthe City of Wichita Falls’ Adopt-A-Trail Litter Cleanup Program. I agree to hold harmless the City of Wichita Falls and their officers, Inc.agents and employees from liability for any all liability regarding, any and all loss, damage, injury or expense that I may suffer, or that my next of kin may suffer during my participation in the City of Wichita Falls’ Adopt-A-Trail Litter Cleanup Program. BY SIGNING THIS RELEASE AND WAIVER I AM INDICATING THAT I HAVE READ AND UNDERSTAND THIS RELEASE AND WAVIER AND AGREE TO ABIDE BY ITS PROVISIONS. Young Participant Parent of Legal Guardian Signature: Signature: Date: Date: Print Name: Print Name:

Appears in 1 contract

Samples: Program Agreement

RELEASE AND WAIVER OF LIABILITY. In consideration For the Purposes of being granted an opportunity this Release and Waiver of liability agreement, Keep Odessa Beautiful refers to enter the premises at Swan Cycle ParkKeep Odessa Beautiful, Inc. in Tyler, TX, and intending Undersigned refers to be legally bound hereby agree: I, for myself, my heirs, personal representatives, and assigns, HEREBY RELEASE, DISCHARGE AND AGREE TO HOLD HARMLESS AND INDEMNIFY Swan Cycle Park, Inc., the promoters, the property owners, individual volunteering with Keep Odessa Beautiful and the officers, directors, officials, representatives, advertisers, sponsors, agents, workers, and employees of all of them, OF AND FROM ALL LIBILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION that may otherwise accrue FROM ANY LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MY PERSON OR PROPERTY, that in any way results from my activities while on Volunteer’s parent or guardian if the premises at Swan Cycle Park, Inc., from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons. I KNOW THE RISK & DANGER TO MYSELF AND PROPERTY while upon said premises or while operating my motorcycle or ATV and I DO SO VOLUNTARILY AND IN RELIANCE, not upon property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, and I thereby ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable to the negligence of others. I FULLY UNDERSTAND THAT MOTORCYCLE RIDING IS DANGEROUS AND THAT THERE IS NO MEDICAL INSURANCE PROVIDED. YES, I HAVE READ THIS RELEASE. Parent or Adult (Print) Signature Date BLACK OR DARK BLUE INK ONLY Parent or Adult (Print) Signature Date PARENTS RELEASE AND WAIVER OF LIABILITY FOR MINORS To be completed if any Member/ Rider volunteer is under less than 18 years of age. I am The Undersigned freely, voluntarily, and without duress executes this Release under the parent or legal guardian of (Print All Minor Rider’s Names) If married, I have the authority of my spouse to sign this agreement as the spouse’s agent and on the spouse’s behalf. I understand that my signature, under oath, may subject me to penalties of perjury if any of the above statements are not true and correct. following terms: In consideration of the acceptance of this entry by Keep Odessa Beautiful in the above project/event, we, the Undersigned, individually and as inducement toon behalf of our minor child/children, Swan Cycle Park, Inc. permitting my child (the rider) to participate in a motorsports activities on the property of Swan Cycle Park, Inc., I for myself, my spouse (if married), my heirs, personal representatives and assigns to waive and release any and all damages and claims for which I, or they may have against Swan Cycle Park, Inc., or any of their officers, directors, workers, or employees of or by reason of any loss, damage or injury (including death) which may occur to my child and further for myself, my heirs, personal representatives, assigns, and my spouse (if married) I do agree hereby to indemnify and save harmless Swan Cycle Park, Inc., their heirs, successors administrators and assigns, release, forever discharge, and their hold harmless Keep Odessa Beautiful, its officers, directors, workersdirector, employees, sponsors agents, successors, and all others associated with the event assigns from any and all liabilityliability or claims that the Undersigned (or the Undersigned’s heirs or assigns) may have against Keep Odessa Beautiful with respect to any bodily injury, losspersonal injury, claimsillness, demands and possible causes of action death, or property damage that may accrue result from the Undersigned’s activities with Keep Odessa Beautiful. THE UNDERSIGNED UNDERSTANDS AND ACKNOWLEDGES THAT THE CLAIMS BEING RELEASED HEREIN INCLUDE, WITHOUT LIMITATION, CLAIMS, IF ANY, BASED ON OR IN ANYWAY RELATED TO THE NEGLIGENCE OR GROSS NEGLIGENCE OF KEEP ODESSA BEAUTIFUL OR ITS OFFICERS, DIRECTOR, EMPLOYEES, OR AGENTS. The Undersigned also understands that Keep Odessa Beautiful does not assume any responsibility for or obligation to myselfprovide financial assistance or other assistance, my spouse (if married)including but not limited to medical, health, or my child by reason disability insurance in the event of participating injury or illness. The Undersigned releases and forever discharges Keep Odessa Beautiful from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Undersigned’s activities at Swan Cycle Parkwith Keep Odessa Beautiful. The Undersigned further attests and verifies that they have full knowledge of the risks involved in the project/event, Inc.that they individually assume those risks on behalf of themselves and their minor children, and that they will individually without limitations, assume and pay any medical and/or emergency expenses in the event of an accident, injury, illness or other incapacity, regardless of whether they have authorized such expenses.

Appears in 1 contract

Samples: downtownodessatx.com

RELEASE AND WAIVER OF LIABILITY. In consideration BEING FULLY INFORMED AND AWARE OF THE RISKS AND IN CONSIDERATION OF HSTT ALLOWING MY PARTICIPATION IN THESE ACTIVITIES, UNDER THE TERMS SET FORTH HEREIN, I, THE VOLUNTEER, FOR MYSELF AND ON BEHALF OF MY CHILD AND/OR LEGAL XXXX, HEIRS, ADMINISTRATORS, PERSONAL REPRESENTATIVES OR ASSIGNS, DO AGREE TO HEREBY RELEASE HSTT, ITS AGENTS, EMPLOYEES, PERSONNEL, OFFICERS/DIRECTORS, PREMISES OWNERS, AND INSURERS FROM ANY AND ALL LIABILITY DUE TO HSTT'S NEGLIGENCE. AND I DO FURTHER AGREE THAT EXCEPT IN THE EVENT OF HSTT'S GROSS NEGLIGENCE OR WILLFUL MISCONDUCT, I SHALL BRING NO CLAIMS, DEMANDS, ACTIONS AND CAUSES OF ACTION, AND/OR LITIGATION, AGAINST HSTT AND/OR ITS ASSOCIATES AS STATED ABOVE IN THIS CLAUSE, FOR ANY ECONOMIC AND/OR NON-ECONOMIC LOSSES DUE TO BODILY INJURY, DEATH, AND/OR PROPERTY DAMAGE, SUSTAINED BY ME AND/OR MY MINOR CHILD OR LEGAL XXXX IN RELATION TO THE PREMISES, SERVICES AND OPERATIONS OF HSTT AND/OR RELATED ACTIVITIES, INCLUDING WITHOUT LIMITATION, WHILE VOLUNTEERING, HANDLING, OR OTHERWISE BEING NEAR ANIMALS OWNED BY OR IN THE CARE, CUSTODY AND CONTROL OF HSTT.  Waiver of being granted an opportunity California Civil Code Section 1542: Further, I am advised that California Civil Code § 1542 provides that: A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY AFFECTED HIS SETTLEMENT WITH THE DEBTOR. I understand and acknowledge the significance and consequences of California Civil Code §1542 and hereby elect to enter waive the premises at Swan Cycle Parkbenefits of its provisions, Inc. in Tyler, TXwith the intent that this release and waiver of liability shall include claims known or unknown, and intending unknown and unsuspected. Initials  This Agreement is governed by and shall be construed in accordance with the terms of the State of California without regard to any rules governing conflicts of laws. The parties agree to submit to the jurisdiction of the County of Nevada, State of California courts for all purposes relating to the terms and conditions herein. If any clause, phrase, or word is in conflict with state law, then that single part shall be legally bound hereby agree: I, for myself, my heirs, personal representatives, and assigns, HEREBY RELEASE, DISCHARGE AND AGREE TO HOLD HARMLESS AND INDEMNIFY Swan Cycle Park, Inc., the promoters, the property owners, severed and the officers, directors, officials, representatives, advertisers, sponsors, agents, workers, and employees of all of them, OF AND FROM ALL LIBILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION that may otherwise accrue FROM ANY LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MY PERSON OR PROPERTY, that in any way results from my activities while on the premises at Swan Cycle Park, Inc., from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons. I KNOW THE RISK & DANGER TO MYSELF AND PROPERTY while upon said premises or while operating my motorcycle or ATV and I DO SO VOLUNTARILY AND IN RELIANCE, not upon property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, and I thereby ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable remaining agreement shall be interpreted according to the negligence parties’ intent as stated herein. INDEMNITY / LIABILITY RELEASE BY PARENT OR LEGAL GUARDIAN OF MINOR CHILD OR LEGAL XXXX (of others. I FULLY UNDERSTAND THAT MOTORCYCLE RIDING IS DANGEROUS AND THAT THERE IS NO MEDICAL INSURANCE PROVIDED. YES, I HAVE READ THIS RELEASE. Parent or Adult (Print) Signature Date BLACK OR DARK BLUE INK ONLY Parent or Adult (Print) Signature Date PARENTS RELEASE AND WAIVER OF LIABILITY FOR MINORS To be completed if any Member/ Rider is volunteers under 18 years of age. I am ):  I, , the parent or parent/legal guardian of , consent to her/his participation as a volunteer with the Humane Society of Truckee-Tahoe (Print All Minor Rider’s Names) If marriedHSTT). We acknowledge that the activities that s/he will participate in may include, I have the authority of my spouse to sign this agreement as the spouse’s agent and on the spouse’s behalf. I understand that my signature, under oath, may subject me to penalties of perjury if any of the above statements but are not true and correct. In consideration of and as inducement limited to, Swan Cycle Parkthe handling of animals. We, Inc. permitting my child (on behalf of ourselves and the rider) to participate in a motorsports activities on the property of Swan Cycle Parkminor volunteer, Inc., I take responsibility for myself, my spouse (if married), my heirs, personal representatives and assigns to waive and release expressly assume any and all damages risks associated with the minor volunteer’s participation in HSTT activities  In acknowledgement that a parent by law cannot waive the personal injury rights or other claims of her/his minor child or legal xxxx, the undersigned parent or guardian of said minor child or legal xxxx agrees to indemnify HSTT, and claims for which Iall of its agents and assigns as stated above, or they may have against Swan Cycle Park, Inc., or any of their officers, directors, workers, or employees of or by reason of from any loss, damage claim, action, demand, liability or injury expense (including deathHSTT’s reasonable attorney fees and costs) which may occur to my arising in connection with this Agreement brought on behalf of said minor child and further for myself, my heirs, personal representatives, assignsor legal xxxx, and my spouse (not caused by HSTT’s gross negligence or willful misconduct. All HSTT volunteers and parents or legal guardians must sign below after reading this document: I/WE, THE UNDERSIGNED, HAVE READ AND DO UNDERSTAND THE FOREGOING AGREEMENT, WARNINGS, RELEASE, INDEMNITY AND ASSUMPTION OF RISK. Signature of Volunteer Date Printed Name of Volunteer Signature of Parents/Legal Guardians if married) I do agree hereby to indemnify Volunteer is a Minor Date Printed Name of Parents/Legal Guardians if Volunteer is a Minor Full Address: City, State, Zip Primary Phone Number Emergency Contact Name and save harmless Swan Cycle Park, Inc., their heirs, successors and assigns, and their officers, directors, workers, employees, sponsors and all others associated with the event from any and all liability, loss, claims, demands and possible causes of action that may accrue to myself, my spouse (if married), or my child by reason of participating in activities at Swan Cycle Park, Inc.Phone Number HUMANE SOCIETY OF TRUCKEE-TAHOE

Appears in 1 contract

Samples: Volunteer Agreement

RELEASE AND WAIVER OF LIABILITY. In consideration of being granted an opportunity to enter the premises at Swan Cycle Park, Inc. in Tyler, TX, and intending to be legally bound hereby agree: I, for myself, my heirs, personal representatives, and assigns, HEREBY RELEASE, DISCHARGE AND AGREE TO HOLD HARMLESS AND INDEMNIFY Swan Cycle Park, Inc., the promoters, the property owners, and the officers, directors, officials, representatives, advertisers, sponsors, agents, workers, and employees of all of them, OF AND FROM ALL LIBILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION that may otherwise accrue FROM ANY LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MY PERSON OR PROPERTY, that in any way results from my activities while on the premises at Swan Cycle Park, Inc., from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons. I KNOW THE RISK & DANGER TO MYSELF AND PROPERTY while upon said premises or while operating my motorcycle or ATV and I DO SO VOLUNTARILY AND IN RELIANCE, not upon property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, and I thereby ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable to the negligence of others. I FULLY UNDERSTAND THAT MOTORCYCLE RIDING IS DANGEROUS AND THAT THERE IS NO MEDICAL INSURANCE PROVIDED. YES, I HAVE READ THIS RELEASE. (BLACK OR DARK BLUE INK ONLY.) Parent or Adult (Print) Signature Date BLACK OR DARK BLUE INK ONLY Parent or Adult (Print) Signature Date PARENTS RELEASE AND WAIVER OF LIABILITY FOR MINORS To be completed if any Member/ Rider is under 18 years of age. I am the parent or legal guardian of (Print All Minor Rider’s Names) If married, I have the authority of my spouse to sign this agreement as the spouse’s agent and on the spouse’s behalf. I understand that my signature, under oath, may subject me to penalties of perjury if any of the above statements are not true and correct. In consideration of and as inducement to, Swan Cycle Park, Inc. permitting my child (the rider) to participate in a motorsports activities on the property of Swan Cycle Park, Inc., I for myself, my spouse (if married), my heirs, personal representatives and assigns to waive and release any and all damages and claims for which I, or they may have against Swan Cycle Park, Inc., or any of their officers, directors, workers, or employees of or by reason of any loss, damage or injury (including death) which may occur to my child and further for myself, my heirs, personal representatives, assigns, and my spouse (if married) I do agree hereby to indemnify and save harmless Swan Cycle Park, Inc., their heirs, successors and assigns, and their officers, directors, workers, employees, sponsors and all others associated with the event from any and all liability, loss, claims, demands and possible causes of action that may accrue to myself, my spouse (if married), or my child by reason of participating in activities at Swan Cycle Park, Inc.

Appears in 1 contract

Samples: Practice Membership Agreement

RELEASE AND WAIVER OF LIABILITY. In consideration of being granted an opportunity I hereby apply to enter East Pennsboro Township to rent and use the premises at Swan Cycle Parkfacility, Inc. or facilities during the dates and times as mentioned in Tyler, TX, and intending to be legally bound hereby agree: Ithe attached application, for myself, my heirs, personal representatives, and assigns, HEREBY RELEASE, DISCHARGE AND AGREE TO HOLD HARMLESS AND INDEMNIFY Swan Cycle Park, Inc., the promoters, the property owners, and the officers, directors, officials, representatives, advertisers, sponsors, agents, workers, and employees of all of them, OF AND FROM ALL LIBILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION that may otherwise accrue FROM ANY LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MY PERSON OR PROPERTY, that in any way results from my activities while on the premises at Swan Cycle Park, Inc., from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons. I KNOW THE RISK & DANGER TO MYSELF AND PROPERTY while upon said premises or while operating my motorcycle or ATV and I DO SO VOLUNTARILY AND IN RELIANCE, not upon property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, and I thereby ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable to the negligence of others. I FULLY UNDERSTAND THAT MOTORCYCLE RIDING IS DANGEROUS AND THAT THERE IS NO MEDICAL INSURANCE PROVIDED. YES, I HAVE READ THIS RELEASE. Parent or Adult (Print) Signature Date BLACK OR DARK BLUE INK ONLY Parent or Adult (Print) Signature Date PARENTS RELEASE AND WAIVER OF LIABILITY FOR MINORS To be completed if any Member/ Rider is under 18 years of age. I am the parent or legal guardian of (Print All Minor Rider’s Names) If married, I have the authority of my spouse to sign this agreement as the spouse’s agent and on the spouse’s behalfa private and/or public function. I understand that by renting this or these facilities I will expose myself and my signatureguests to normal risks of injury or harm associated with nature, under oathsporting events and activities, may subject me picnics, social gatherings, musical events, and/or passive recreational activities. I hereby assume all risk and responsibility of damage to penalties of perjury if any of the above statements are not true and correct. In consideration of and as inducement to, Swan Cycle Park, Inc. permitting my child (the rider) to participate in a motorsports activities on the property of Swan Cycle ParkEast Pennsboro Township as it relates to my event and my use and/or misuse; and hold East Pennsboro Township, Inc., I its agents and representatives harmless for myself, my spouse (if married), my heirs, personal representatives and assigns to waive and release any and all damages suits relating to the use of Township owned facilities. I hereby fully and claims for which Iforever release, or they may have against Swan Cycle Parkdischarge, Inc.and agree not to sue East Pennsboro Township, or any of their officials, elected or appointed, employees (past or present), and contractors/vendors (past or present), sponsors or their officers, directors, workersagents, employees’ representatives, and successors for any and all claims, causes of action or employees liability for any injury, loss or damage sustained or incurred by me or my guests arising out of or by reason in any way associated with our attendance at or participation in my event through this contracted rental. I hereby fully and forever release, discharge, and agree not to sue East Pennsboro Township, any of their officials, elected or appointed, employees (past or present), and contractors/vendors (past or present), sponsors or their officers, directors, agents, employees, representatives, and successors for any loss, damage or injury (including death) which may occur expense brought on by me, anyone acting on my behalf, or anyone else because of conduct attributed to my child me. I agree that this Release and further for myself, Waiver of Liability shall be construed and interpreted according to the Law of the State of Pennsylvania. I understand and agree that this Release and Waiver of Liability shall be binding upon my heirs, assigns and any personal representativesentity acting upon my behalf. I have read the above items of the Release and Waiver of Liability, assignsunderstand them, agree to abide by them, and my spouse hereby acknowledge and understand this Release and Waiver of Liability. I have read the guidelines regarding use of Township Facilities and agree to assume responsibility for observance of these regulations. I shall agree to assume all responsibility for any damages incurred beyond normal wear and tear and I also assume all liability for personal damages or injuries incurred through use of the facility and relieve East Pennsboro Township and its officials of any responsibilities for such activities. I understand that a portion of the rental fee may be non-refundable and may not be returned in case of cancellation. Signature Date PLEASE RETURN SPECIAL EVENT PARK USAGE APPLICATION TO: EAST PENNSBORO TOWNSHIP RECREATION DEPARTMENT 00 X. XXXXX XXXXX, XXXXX, XX 00000 Fee Structure for Park/ Facility Event Rentals Field Fees $50.00 per day per field for organization within East Pennsboro Township $150.00 per day per field for organization outside of East Pennsboro Township Additional Township Maintenance Costs may apply Pavilion Fee $50.00 per day for East Pennsboro Township Residency $90.00 per day for East Pennsboro Township Non-Residency $200.00 per day for any organization or company Park Rental $350.00 Security Deposit, plus addition of the fees assessed from usage request Gazebo $150.00 East Pennsboro Township Residency, plus a $75.00 refundable deposit $250.00 East Pennsboro Township Non-Residency, plus a $75.00 refundable deposit Peddlers License $10.00 per day Operational Permits Amusement Buildings $50.00 Carnivals & Fairs $0.0025/square foot of area (if marriedexcluding parking) I do agree hereby to indemnify and save harmless Swan Cycle Park, Inc., their heirs, successors and assigns, and their officers, directors, workers, employees, sponsors and all others associated with the event from any and all liability, loss, claims, demands and possible causes Explosives (fireworks) $125.00 Open Burning (includes Bonfires) $50.00 Temporary Tents & Canopies $50.00 Food Establishments Health License $100.00/ annual registration Fire Police $100.00 per hour Fire Police vehicle $150.00 per hour Road Closure/Traffic Control Device $100.00 per hour Consultation & Administrative Fees Consultation fee during regular business hours $75.00/person/hour in 1/10 hour increments Consultation fee outside of action that may accrue to myself, my spouse (if marriedregular business hours $150.00/person/hour in 1/2 hour increments TOWNSHIP USE ONLY: Date received □ Approved □ Denied Date Amount due Insurance required? □ No □ Received/On file Expiration date Car Insurance □ Yes □ No Concessions/Vendors/Rentals/Caterers? □ Approved □ Denied Name(s), or my child by reason of participating in activities at Swan Cycle Park, Inc.

Appears in 1 contract

Samples: Special Event Park Usage Agreement

RELEASE AND WAIVER OF LIABILITY. In consideration of being granted an opportunity for Dartmouth allowing the Participant to enter voluntarily engage in the premises at Swan Cycle ParkActivity, Inc. we as Parent/Guardian and as Participant agree TO BEAR SOLE RESPONSIBILITY FOR ANY INJURY, LOSS OR DAMAGE which the Participant might sustain while taking part in Tyler, TXthe Activity. As Parent/Guardian, and intending to be legally bound as a Participant, we hereby agree: I, for myself, my heirs, personal representatives, and assigns, HEREBY RELEASE, DISCHARGE WAIVE, DISCHARGE, AND COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND HOLD HARMLESS AND INDEMNIFY Swan Cycle Parkfor any and all purposes Dartmouth, Inc.its trustees, the promoters, the property owners, and the officers, directorsemployees, officials, representatives, advertisers, sponsorsvolunteers, agents, workersmembers, and employees of all of themrepresentatives (collectively, OF AND FROM ALL LIBILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION that may otherwise accrue FROM ANY LOSS, DAMAGE OR INJURY (INCLUDING DEATHthe “Releasees”) TO MY PERSON OR PROPERTY, that in any way results from my activities while on the premises at Swan Cycle Park, Inc., from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons. I KNOW THE RISK & DANGER TO MYSELF AND PROPERTY while upon said premises or while operating my motorcycle or ATV and I DO SO VOLUNTARILY AND IN RELIANCE, not upon property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, and I thereby ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable to the negligence of others. I FULLY UNDERSTAND THAT MOTORCYCLE RIDING IS DANGEROUS AND THAT THERE IS NO MEDICAL INSURANCE PROVIDED. YES, I HAVE READ THIS RELEASE. Parent or Adult (Print) Signature Date BLACK OR DARK BLUE INK ONLY Parent or Adult (Print) Signature Date PARENTS RELEASE AND WAIVER OF LIABILITY FOR MINORS To be completed if any Member/ Rider is under 18 years of age. I am the parent or legal guardian of (Print All Minor Rider’s Names) If married, I have the authority of my spouse to sign this agreement as the spouse’s agent and on the spouse’s behalf. I understand that my signature, under oath, may subject me to penalties of perjury if any of the above statements are not true and correct. In consideration of and as inducement to, Swan Cycle Park, Inc. permitting my child (the rider) to participate in a motorsports activities on the property of Swan Cycle Park, Inc., I for myself, my spouse (if married), my heirs, personal representatives and assigns to waive and release any and all damages and claims for which I, or they may have against Swan Cycle Park, Inc., or any of their officers, directors, workers, or employees of or by reason of any loss, damage or injury (including death) which may occur to my child and further for myself, my heirs, personal representatives, assigns, and my spouse (if married) I do agree hereby to indemnify and save harmless Swan Cycle Park, Inc., their heirs, successors and assigns, and their officers, directors, workers, employees, sponsors and all others associated with the event from any and all liabilityliabilities and claims whatsoever arising out of, or in connection with, the Participant’s attendance and participation in the Activity, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES or otherwise, ACKNOWLEDGEMENT AND AGREEMENT: As Parent/Guardian and as Participant, we agree to follow the directions, rules, and policies of Dartmouth and the Activity staff. As Parent/Guardian and as Participant, we agree to exercise reasonable care and good judgment for the duration of the Activity. We agree that it is our responsibility to ask questions about any aspect of the Activity or overall program that has not been explained to our satisfaction. We acknowledge that Xxxxxxxxx has the sole right to remove the Participant from the Activity for failure to comply with any direction, rule, or policy, or to terminate the Activity. ASSUMPTION OF RISKS: Participation in this Activity is completely voluntary. The Activity may include – but is not limited to – the following: • Virtual group conversations • Interactive learning sessions in an online platform As Parent/Guardian and as a Participant, we understand that the Activity involves risks and potential hazards, including but not limited to the risk of data mining, phishing, viruses, malware, data breach of online information, cyberbullying, exploitation, victimization, cyberstalking, online grooming, cyber predators, digital footprint, reputation loss, claimscompliance violations, demands brand hijacking, image replication, and possible causes we hereby elect to participate in the Activity knowing that the Activity may be hazardous to the Participant and/or my or the Participant’s property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, THAT MAY BE SUSTAINED BY THE PARTICIPANT, OR ANY LOSS OR DAMAGE TO PROPERTY OWNED BY ME AS A RESULT OF THE PARTICIPANT’S PARTICIPATION IN THE ACTIVITY, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES OR OTHERWISE. ACCOMMODATIONS: As Parent/Guardian, I represent that the Participant is qualified to participate in the Activity with or without reasonable accommodations, and that to request any such accommodations, I should contact the Director of action that may accrue the Activity in writing at least two weeks prior to myself, my spouse the start of the Activity (if marriedor as requested by the Activity director), or my child by reason of participating in activities at Swan Cycle Park, Inc..

Appears in 1 contract

Samples: www.dartmouth.edu

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RELEASE AND WAIVER OF LIABILITY. In consideration of being granted an opportunity to enter for the premises at Swan Cycle Park, Inc. in Tyler, TX, and intending to be legally bound hereby agree: I, for myself, my heirs, personal representatives, and assigns, HEREBY RELEASE, DISCHARGE AND AGREE TO HOLD HARMLESS AND INDEMNIFY Swan Cycle Park, Inc., the promoters, the property owners, and the officers, directors, officials, representatives, advertisers, sponsors, agents, workers, and employees of all of them, OF AND FROM ALL LIBILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION that may otherwise accrue FROM ANY LOSS, DAMAGE OR INJURY City allowing (INCLUDING DEATH) TO MY PERSON OR PROPERTY, that in any way results from my activities while on the premises at Swan Cycle Park, Inc., from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons. I KNOW THE RISK & DANGER TO MYSELF AND PROPERTY while upon said premises or while operating my motorcycle or ATV and I DO SO VOLUNTARILY AND IN RELIANCE, not upon property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, and I thereby ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable to the negligence of others. I FULLY UNDERSTAND THAT MOTORCYCLE RIDING IS DANGEROUS AND THAT THERE IS NO MEDICAL INSURANCE PROVIDED. YES, I HAVE READ THIS RELEASE. Parent or Adult (Print) Signature Date BLACK OR DARK BLUE INK ONLY Parent or Adult (Print) Signature Date PARENTS RELEASE AND WAIVER OF LIABILITY FOR MINORS To be completed if any Member/ Rider is under 18 years of age. I am the parent or legal guardian of (Print All Minor Rider’s Names) If married, I have the authority of my spouse to sign this agreement as the spouse’s agent and on the spouse’s behalf. I understand that my signature, under oath, may subject me to penalties of perjury if any of the above statements are not true and correct. In consideration of and as inducement to, Swan Cycle Park, Inc. permitting my child (the riderParticipant) to participate in a motorsports activities on the property Program, we accept sole responsibility for any injury to ourselves—the Participant and the Parent/Guardian—as well as any member of Swan Cycle Parkour household (including, Inc.but not limited to, I for myselfpersonal injury, my spouse (if marriedillness, disability, and death), my heirsdamage, personal representatives loss, claim, liability, or expense, of any kind arising from infection or exposure to any contagious disease, including the coronavirus, that we or any member of our household may experience or incur arising out of or related to the Participant’s attendance at the Program or participation in Program activities until June 30, 2021 (“Claims”). On behalf of both the minor Participant AND the Parent/Guardian, we hereby forever release, covenant not to sue, discharge, INDEMNIFY, and assigns to hold harmless the City (INCLUDING ITS SUCCESSORS, ASSIGNS, CURRENT AND FORMER OFFICERS, EMPLOYEES, VOLUNTEERS, SERVANTS, AGENTS, ATTORNEYS, INSURANCE CARRIERS, AND SELF-INSURANCE POOLS, COLLECTIVELY AND INDIVIDUALLY) from any Claims, and waive and release any and all damages and claims for which Irights to assert such Claims, or they may have against Swan Cycle Park, Inc., or any of their officers, directors, workers, or employees of or by reason of any loss, damage or injury (including death) which may occur to my child and further for myself, my heirs, personal representatives, assigns, and my spouse (if married) I do agree hereby to indemnify and save harmless Swan Cycle Park, Inc., their heirs, successors and assigns, and their officers, directors, workers, employees, sponsors and all others associated with the event from any and all liabilityliabilities, lossactions, claimsdamages, demands and possible causes of action that may accrue to myself, my spouse (if married)costs, or my child by reason expenses of participating in activities at Swan Cycle Parkany kind of every nature arising out of or relating thereto. We agree that presentation of this Release and Waiver constitutes a complete and affirmative defense to any action asserting any Claims and that any such action shall be dismissed with prejudice upon presentation of this Release and Waiver. WE HAVE CAREFULLY READ THIS RELEASE AND WAIVER, Inc.FULLY UNDERSTAND ALL OF ITS TERMS, UNDERSTAND THAT BOTH OF US (THE MINOR PARTICIPANT AND THE PARENT/GUARDIAN) HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. Participant Name: Participant Signature: Date: Parent/Guardian Name: Parent/Guardian Signature: Date:

Appears in 1 contract

Samples: Special Release and Waiver of Liability

RELEASE AND WAIVER OF LIABILITY. In consideration of my being granted an opportunity permitted to enter participate in the premises at Swan Cycle Parkactivities arranged by KCKC, Inc. in Tyler, TX, and intending to be legally bound hereby agree: I, for myself, my heirs, personal representativesnext of ki n, executors, administrators, and assignsanyone else who may claim on my behalf, XXXXXX XXXXX ANY AND ALL CLAIMS for liability and damages or loss sustained to any property or resulting in personal injury or loss of life, from or in connection with my participation in the activities of KCKC howsoever caused. I FURTHER HEREBY RELEASERELEASE AND FOREVER DISCHARGE KCKC, DISCHARGE AND AGREE TO HOLD HARMLESS AND INDEMNIFY Swan Cycle Park, Inc., the promoters, the property owners, and the officersits members, directors, officialsemployees, representativesagents and representatives (collectively “the Releasees”) from and against all demands, advertisersclaims, sponsorsactions, agentsdamages, workerscosts and expenses arising from or with respect to death, injury, damage or loss to my person or property of any kind whatsoever, howsoever caused in connection with my participation in KCKC activities though the same may have contributed to or have been caused by the NEGLIGENCE, GROSS NEGLIGENCE, BREACH OF CONTRACT OF KCKC OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE. I FURTHER AGREE to save harmless and indemnify the Releasees from any demands, court proceedings or actions arising out of or connected to my involvement in or presence during any of the activities of KCKC. This agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, and employees assigns in the event of all of them, OF AND FROM ALL LIBILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION my death or incapacity. In the event that may otherwise accrue FROM ANY LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MY PERSON OR PROPERTY, that I act in any way results capacity for KCKC, I appoint KCKC as my agent for the purpose of obtaining an indemnity and release of liability from my activities while on the premises at Swan Cycle Parkother members of KCKC or persons participating in its activities. In entering into this Agreement, Inc., from I am not relying upon any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, oral or the negligence of written representations or statements made by KCKC other personst han those which are set forth in this Agreement. I KNOW THE RISK & DANGER TO MYSELF AND PROPERTY while upon said premises or while operating my motorcycle or ATV and I DO SO VOLUNTARILY AND IN RELIANCE, not upon property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, and I thereby ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable to the negligence of others. I FULLY UNDERSTAND THAT MOTORCYCLE RIDING IS DANGEROUS AND THAT THERE IS NO MEDICAL INSURANCE PROVIDED. YES, I HAVE READ AND UNDERSTAND THIS RELEASEAGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST THE RELEASEES. Parent or Adult Applicant (Print) Signature Date BLACK OR DARK BLUE INK ONLY Parent or Adult SIGNATURE Co-applicant (Print) Signature Date PARENTS RELEASE AND WAIVER OF LIABILITY FOR MINORS To be completed if any Member/ Rider is SIGNATURE Minors (Family members under 18 years of age. I am the parent or legal guardian of age 19) NAME (Print All Minor Rider’s NamesAge: ) If married, I have the authority of my spouse to sign this agreement as the spouse’s agent and on the spouse’s behalf. I understand that my signature, under oath, may subject me to penalties of perjury if any of the above statements are not true and correct. In consideration of and as inducement to, Swan Cycle Park, Inc. permitting my child NAME (the riderAge: ) to participate in a motorsports activities on the property of Swan Cycle Park, Inc., I for myself, my spouse NAME (if married), my heirs, personal representatives and assigns to waive and release any and all damages and claims for which I, or they may have against Swan Cycle Park, Inc., or any of their officers, directors, workers, or employees of or by reason of any loss, damage or injury Age: ) NAME (including deathAge: ) which may occur to my child and further for myself, my heirs, personal representatives, assigns, and my spouse Parent/Gardian (if marriedPrint) I do agree hereby to indemnify and save harmless Swan Cycle Park, Inc., their heirs, successors and assigns, and their officers, directors, workers, employees, sponsors and all others associated with the event from any and all liability, loss, claims, demands and possible causes of action that may accrue to myself, my spouse (if married), or my child by reason of participating in activities at Swan Cycle Park, Inc.SIGNATURE

Appears in 1 contract

Samples: www.kckc.ca

RELEASE AND WAIVER OF LIABILITY. In consideration of being granted an opportunity to enter the premises at Swan Cycle Park, Inc. in Tyler, TX, and intending to be legally bound hereby agree: I, for myself, my heirs, personal representatives, and assigns, HEREBY RELEASE, DISCHARGE AND AGREE TO HOLD HARMLESS AND INDEMNIFY Swan Cycle Park, Inc., the promoters, the property owners, and the officers, directors, officials, representatives, advertisers, sponsors, agents, workers, and employees of all of them, OF AND FROM ALL LIBILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION that may otherwise accrue FROM ANY LOSS, DAMAGE OR INJURY (INCLUDING DEATHname/please print) TO MY PERSON OR PROPERTY, that in any way results from my activities while on the premises at Swan Cycle Park, Inc., from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, am a Padre Xxxxx Basketball Tournament / Practice Participant or the negligence of other persons. I KNOW THE RISK & DANGER TO MYSELF AND PROPERTY while upon said premises or while operating my motorcycle or ATV and I DO SO VOLUNTARILY AND IN RELIANCE, not upon property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, and I thereby ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable to the negligence of others. I FULLY UNDERSTAND THAT MOTORCYCLE RIDING IS DANGEROUS AND THAT THERE IS NO MEDICAL INSURANCE PROVIDED. YES, I HAVE READ THIS RELEASE. Parent or Adult (Print) Signature Date BLACK OR DARK BLUE INK ONLY Parent or Adult (Print) Signature Date PARENTS RELEASE AND WAIVER OF LIABILITY FOR MINORS To be completed if any Member/ Rider is under 18 years of age. I am the parent or legal guardian of (Print All Minor Ridername/please print) (“Participant”) who is, with my permission, a Participant in Padre Serra Basketball Tournament / Practice. I hereby give approval for the Participant’s Names) If married, enrollment and participation in this activity. I acknowledge and I have the authority of my spouse to sign this agreement as the spouse’s agent and on the spouse’s behalf. I understand that my signature, under oath, may subject me to penalties of perjury if any of read the above statements are not true Notice and correctunderstand and assume the risks associated with such participation. In consideration of Participation in this activity is by choice and is completely voluntary. Accordingly, for myself as inducement toParticipant, Swan Cycle Parkor in my capacity as parent or legal guardian for the Participant, Inc. permitting and for my child (the rider) to participate in a motorsports activities on the property of Swan Cycle Park, Inc., I for myself, my spouse (if married)spouse, my heirs, personal representatives assigns, related individuals and assigns related entities, I do hereby release, waive, absolve, discharge, and agree to waive hold harmless Mount Xxxx University, its Board members, trustees, officers, employees, agents, and release insurers (collectively, the “University Released Parties”) from and against any and all rights, claims, demands, causes of action, obligations, suits, liens, damages or liabilities of any kind and claims for character whatsoever, whether known or unknown, suspected or claimed, which I, Participant shall or they may have in the future against Swan Cycle Parkthe University Released Parties arising out of, Inc.based on, related to or any of their officersconnected with As a Participant’s enrollment and participation in the Padre Serra Basketball Tournament / Practice, directors, workers, or employees of or by reason of any loss, damage or injury (including death) which may occur to my child and further for myself, my heirs, personal representatives, assigns, and my spouse (if married) I do also agree hereby to indemnify and save hold the University Released Parties harmless Swan Cycle Park, Inc., their heirs, successors and assigns, and their officers, directors, workers, employees, sponsors from the payment of any and all others judgments, settlements, costs, disbursements and attorney fees that are associated with the event University Released Parties having to defend or investigate any claim, action or proceeding of any type whatsoever arising out of Participant’s enrollment or participation in the above-referenced Padre Serra Basketball Tournament / Practice, but not limited to, claims for breach of contract, negligence, strict liability, or otherwise. This indemnification obligation and this Release and Waiver of Liability do not, however, absolve the University Released Parties from any and all liability, lossdamages, claimscosts, demands disbursements and attorney fees incurred due to their intentional or reckless conduct. I fully understand that if any fact with respect to which this Release and Waiver of Liability is executed is found hereafter to be other than or different from the fact in that connection now believed by me to be true, I expressly accept and assume the risk of suck possible causes difference in fact and agree that this Release and Waiver of action that may accrue to myself, my spouse (if married), or my child by reason of participating Liability shall be and remain effective notwithstanding such difference in activities at Swan Cycle Park, Inc.facts.

Appears in 1 contract

Samples: Participation Agreement

RELEASE AND WAIVER OF LIABILITY. In I, , of , in consideration of being granted an opportunity to enter the premises at Swan Cycle ParkTown of Ayer allowing my use of the Town-owned Property known as Ayer Community Gardens, Inc. in TylerAyer, TX, and intending to be legally bound hereby agreeMassachusetts (the “Premises”) for community garden purposes agree as follows: I, for myself, my heirs, personal representatives, next of kin, estate, administrators and assignsassignees (the “Releasors”) hereby certify that I have full knowledge of the nature and extent of risks inherent in my use of the Premises as a community garden and I understand that I will be solely responsible for any loss or damage, HEREBY RELEASEincluding death, DISCHARGE AND AGREE TO HOLD HARMLESS AND INDEMNIFY Swan Cycle Parkwhich any person may sustain or cause, Inc.to any myself, to any of my property or any other person or property as the promotersresult of my activities. By this agreement, Releasors are relieving the property ownersTown of Ayer, and the officers, directors, officials, representatives, advertisers, sponsorsall of its employees, agents, workersand board members (the “Releasees”) of any and all liability for such loss or damage. DRAFT The Releasors agree to forever release the Releasees from any and all claims, rights of action and causes of action that may have arisen in the past, or may arise in the future, directly or indirectly, from my use of the Premises. The Releasors also promise to indemnify, defend, and employees hold harmless the Releasees against any and all legal claims and proceedings of all of them, OF AND FROM ALL LIBILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION any description that may otherwise accrue FROM ANY LOSShave been asserted in the past, DAMAGE OR INJURY or may be asserted in the future, directly or indirectly arising from (INCLUDING DEATHa) TO MY PERSON OR PROPERTY, that in any way results personal injuries to myself or to other person(s); or (b) real or personal property damage resulting from my activities while on use of the premises at Swan Cycle Park, Inc., from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other personsGarden. I KNOW THE RISK & DANGER TO MYSELF HAVE CAREFULLY READ THIS AGREEMENT AND PROPERTY while upon said premises or while operating my motorcycle or ATV and I DO SO VOLUNTARILY AND IN RELIANCE, not upon property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, and I thereby ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable to the negligence of othersFULLY UNDERSTAND ITS CONTENTS. I FULLY UNDERSTAND AM AWARE THAT MOTORCYCLE RIDING THIS IS DANGEROUS AND THAT THERE IS NO MEDICAL INSURANCE PROVIDED. YES, I HAVE READ THIS RELEASE. Parent or Adult (Print) Signature Date BLACK OR DARK BLUE INK ONLY Parent or Adult (Print) Signature Date PARENTS A RELEASE AND WAIVER OF LIABILITY FOR MINORS To be completed if any Member/ Rider is under 18 years of ageAND A LEGALLY BINDING CONTRACT OF INDEMNITY GOVERENED BY MASSACHUSETTS LAW. I am CERTIFIES THAT I AM 18 YEARS OF AGE OR OLDER, AM LEGALLY COMPETENT TO SIGN THIS AGREEMENT, AND HAVE SIGNED IT OF MY OWN FREE WILL AS A DOCUMENT UNDER SEAL. Witness my hand and seal on . Signature EXHIBIT C PERMITTED USE OF THE PREMISES Please see Community Garden Rules and Regulations, approved July, 2015 by the parent or legal guardian Ayer Board of (Print All Minor Rider’s Names) If married, I have the authority Selectmen for a list of my spouse to sign this agreement as the spouse’s agent and on the spouse’s behalfpermitted activities. I understand that my signature, under oath, may subject me to penalties of perjury if any of the above statements are not true and correct. In consideration of and as inducement to, Swan Cycle Park, Inc. permitting my child (the rider) to participate in a motorsports activities on the property of Swan Cycle Park, Inc., I for myself, my spouse (if married), my heirs, personal representatives and assigns to waive and release any and all damages and claims for which I, or they may have against Swan Cycle Park, Inc., or any of their officers, directors, workers, or employees of or by reason of any loss, damage or injury (including death) which may occur to my child and further for myself, my heirs, personal representatives, assigns, and my spouse (if married) I do agree hereby to indemnify and save harmless Swan Cycle Park, Inc., their heirs, successors and assigns, and their officers, directors, workers, employees, sponsors and all others associated with the event from any and all liability, loss, claims, demands and possible causes of action that may accrue to myself, my spouse (if married), or my child by reason of participating in activities at Swan Cycle Park, Inc.EXHIBIT C

Appears in 1 contract

Samples: Community Garden License Agreement

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