Waiver and Indemnification Agreement Sample Contracts

ACKNOWLEDGMENT AND ASSUMPTION OF RISK AND WAIVER OF LIABILITY RELATING TO CORONAVIRUS/COVID-19
Waiver and Indemnification Agreement • June 28th, 2023 • Massachusetts

This Release, Liability Waiver and Indemnification Agreement (“Release”) is between DBDC, LLC (“Company”) and the undersigned below (“Releasor”). The novel coronavirus and the disease it causes known as COVID-19 (collectively, “COVID- 19”) has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. The Company is committed to providing a safe experience for the Caribbean Dancesport (“Competition”). Although the Company is taking and has taken preventive measures to reduce the spread of COVID-19, risk cannot be eliminated and the Company cannot guarantee that the Releasor will not become infected with COVID-19. Releasor acknowledges that Releasor has a responsibility to take their own st

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RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT ADULT ON BEHALF OF MINOR
Waiver and Indemnification Agreement • February 1st, 2017

I, (print name) for myself, my heirs and personal representatives, hereby assume all liabilities, risks, injuries and hazards to my child/children, (print name of child)

Participant) (Date of Birth) (Parent/ Legal Guardian - if Student under age 18) (Phone) (Address) (City) (State) (Activity – Name of Class)
Waiver and Indemnification Agreement • May 16th, 2016 • Wisconsin

In exchange for the School District of Lodi along with C.R.E.W./Indoor Community Pool allowing participation in Pool/C.R.E.W. programs the participant and, if the participant is a minor, the participant’s Parent(s) and/or Legal Guardian(s), agree as follows:

WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • September 2nd, 2015

___________________________ (hereinafter “Home Institution”), and a voluntary participant (or the parent or legal guardian of , who wishes to participate) in the

VOLUNTEER RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • February 16th, 2023

(“activity”), including transportation to and from the said activity. I acknowledge the fact that this activity may have, and/or involve, distinct or inherent risks of physical injury or possibly even death, and physical contact or other conditions or factual circumstances where physical or other injuries may occur, due to the nature of the activity.

ASSUMPTION OF RISK, WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • March 8th, 2016
Release, Waiver and Indemnification Agreement
Waiver and Indemnification Agreement • October 31st, 2019 • New York

I, the undersigned Participant, have accepted your offer to participate in the Robb Report “Car of the Year” event (the “Event”) to be hosted by Robb Report Media, LLC, a Delaware limited liability company (“Robb Report”), at Meadowood Napa Valley and surrounding areas including but not limited to several wineries (the “Venues”) from November 1, 2019 – November 16, 2019. Without limitation, the Event includes all hospitality, entertainment and activities relating thereto, including without limitation driving, wine tasting, culinary experiences, transportation, hiking and spa activities. In consideration of the opportunities and benefits resulting from my participation in the Event (“Participation”). I hereby agree as follows:

VOLUNTEER RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT (MINOR)
Waiver and Indemnification Agreement • February 16th, 2023

I, for myself, my child/ward, my heirs and personal representatives, hereby assume all liabilities, risks, injuries and hazards to my child/ward,

RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • August 22nd, 2020

Read this form completely and carefully. You are agreeing to let your minor child engage in a potentially dangerous activity. You are agreeing that there is a chance your child may be seriously injured or killed by participating in this activity because there are certain dangers inherent In the activity which cannot be avoided or eliminated. By signing this Form, you are giving up your child’s right and your right to recover from Dilmac Group LLC, llc d/b/a Purple SandBox or Outbox Premium Out of Home LLC; in a lawsuit for any personal injury, including death, to your child or any property damage that results from the risks that are a natural part of the activity. You have the right to refuse to sign this form, and Dilmac Group LLC, llc d/b/a Purple SandBox or Outbox Premium Out of Home LLC has the right to refuse to let your child participate if you do not sign this form.

RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT (MINOR)
Waiver and Indemnification Agreement • January 7th, 2020

I, the undersigned parent or legal guardian of the minor, whose name appears above, consent and agree that the above named minor may participate in the above-described activity. The undersigned further agrees that the City of Miramar and its officers, agents and employees will not be held liable for injuries or other loss which may occur as a result of such participation, and that the undersigned voluntarily assumes the risk of any loss, injury or damage to person or property, which in any way arises out of participation in the above-described activity.

RECITALS
Waiver and Indemnification Agreement • April 1st, 2002 • Avant Corp • Services-prepackaged software • California
MILLIKIN UNIVERSITY RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • June 9th, 2022 • Illinois

In consideration for allowing me (or my minor child's) to participate in the Kick-start Entrepreneurship Camp, I (or on behalf of my minor child) agree as follows:

MILLIKIN UNIVERSITY RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • August 24th, 2016 • Illinois

I, (parent name), am a student/volunteer/other non-employee, at Millikin University, (or a parent on behalf of a minor student/volunteer/other non-employee at Millikin University).

WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • October 28th, 2021

As a condition to, and in consideration of, my use of the Bicycle Storage & Unisex Shower Rooms on the L2/P1 Level located at 1900 K Street, NW, Washington, DC (the “Property”), I hereby certify, covenant and agree as follows:

SUMMIT TOWNSHIP STORMWATER MANAGEMENT SAFETY FENCE WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • September 13th, 2021

SUMMIT TOWNSHIP, a second class township organized and existing under the laws of the Commonwealth of Pennsylvania with a principal place of business at 1230 Townhall Road, West, Suite 100, Erie, PA 16509

WITNESSETH:
Waiver and Indemnification Agreement • March 30th, 2000 • American Cable Tv Investors 5 LTD • Radiotelephone communications • New York
WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • April 15th, 2014

I, , am borrowing the Silicon Valley Energy Watch (SVEW) Do-It-Yourself (DIY)Home Energy Saving Toolkit to conduct a home energy audit and I agree that in no event shall the City of Sunnyvale, the Sunnyvale Library, or SVEW be liable for any damages arising out of or connected with the devices or tools provided as part of the Do-It-Yourself program.

RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT (ADULT ON BEHALF OF MINOR)
Waiver and Indemnification Agreement • July 27th, 2020

, incidental to, or as a result of, participation in YOUTH SUMMER CAMP PROGRAM 2021, including transportation TO, FROM, AND DURING the said activity. I freely acknowledge the fact that this/these Program(s) and/or activity(ies) may have, and/or do involve, physical contact or other conditions or factual circumstances where physical or other injuries may occur, and that transportation to and from said event could involve the potential for an automobile, or other, accident.

RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • July 23rd, 2022

The City of Dania Beach, Florida (the “City”) will be overseeing the Dania Beach Soccer Program (the “Program) which will include supervision of the volunteer coaching staff. Each coach will be required to participate in a certification training class in order to become a volunteer coach.

CONSENT, RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • January 25th, 2016 • Texas

Maximum Chances, LLC (“Charity”), is a Texas charitable nonprofit organization offering financial support and services to individuals and families dealing with the financial burdens of autism (“Assistance”). In most cases this assistance is provided at a reduced rate directly through the Charity or through referrals to professional providers

WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • September 22nd, 2021

I, , am borrowing the following Induction Cooktop Equipment (“Equipment”) from the City of Hayward (“COH”) to experience an induction cooktop.

RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • May 31st, 2021
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WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • December 15th, 2022

I, , am participating in the following Electrification Rebate Program (“Program”) from the City of Piedmont (“City”) to benefit from a rebate to replace an existing natural gas-powered appliance(s) with an electric appliance(s).

RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • May 25th, 2018

I, for myself, my heirs and personal representatives, hereby assume all liabilities, risks, injuries and hazards to my child/children, , incidental to, or as a result of, participation in museum exhibits, climbing structure, ball pit, trampoline, water table, activities, and events and freely acknowledge the fact that this/these program(s) may have, and/or do involve, physical contact or other conditions or factual circumstances where physical or other injuries, including but not limited to concussion, may occur. As legal guardian and/or natural parent of the above referenced child/children, I do hereby waive, release and agree to indemnify and hold harmless OVIEDO ARCADE, LLC D/B/A ARCADIA KID’S FUN MUSEUM, their officers, agents, employees, the organizers, sponsors, activity supervisors, co-sponsoring organizations and participants for any claim, demand, liability, costs, suits, charges or compensation for loss or injury of any kind arising out of a loss or an injury, including losse

RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT (ADULT)
Waiver and Indemnification Agreement • January 7th, 2020

The undersigned agrees that the City of Miramar and its officers, agents and employees will not be held liable for injuries or other loss which may occur as a result of my participation in the above described activity, and that the undersigned voluntarily assumes the risk of any loss, injury or damage to person or property, which in any way arises out of participation in said activity.

WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • June 9th, 2021

parent or legal guardian of , who wishes to participate) in the Programa de Estudios Hispánicos en Córdoba (hereinafter “PRESHCO” or “the Program”). I confirm that I have read and understand all of the terms and conditions for participation in the Program, including but not limited to the requirements established by my Wellesley College, the various documents that make up the PRESHCO Application Packet, and the Program Brochure and Student Handbook, which can be found under “For Students,” on the PRESHCO Home Page (http://sophia.smith.edu/blog/preshco/). In consideration of being permitted to participate in the Program, I hereby agree as follows:

WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • December 24th, 2019

As a condition to, and in consideration of, my use of the Bike Rack Cage in the parking garage located at 1900 K Street, NW, Washington, DC (the “Property”), I hereby certify, covenant and agree as follows:

RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT (MINOR)
Waiver and Indemnification Agreement • February 27th, 2019

I, the undersigned parent or legal guardian of the minor, whose name appears above, consent and agree that the above named minor may participate in the above-described activity. The undersigned further agrees that the City of Miramar and its officers, agents and employees will not be held liable for injuries or other loss which may occur as a result of such participation, and that the undersigned voluntarily assumes the risk of any loss, injury or damage to person or property, which in any way arises out of participation in the above-described activity.

THIS IS A LEGALLY BINDING RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT (this “Agreement”).
Waiver and Indemnification Agreement • February 27th, 2013

I, hereby affirm that I have read this document in its entirety. By my signature below and by ini- tialing each paragraph, I agree to each and every term and condition of this document. I have signed this release of my own free will and I have not been coerced in any way to sign this release.

Release, Waiver and Indemnification Agreement
Waiver and Indemnification Agreement • June 3rd, 2021

I, the undersigned Participant, have accepted your offer to participate in the Robb Report “California Coastal” event (the “Event”) to be hosted by Robb Report Media, LLC, a Delaware limited liability company (“ Robb Report”), along the California coast and surrounding areas (the “Venues”) from June 6, 2021 to June 10, 2021. Without limitation, the Event includes all hospitality, entertainment and activities relating thereto, including without limitation, any and all driving, wine tasting, culinary experiences, transportation, and spa activities. In consideration of the opportunities and benefits resulting from my participation in the Event (“Participation”), I hereby agree as follows:

WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • July 31st, 2019

The undersigned, , a member of Vineyards at St. Lucie West Residents' Association, Inc., in consideration for the permission to use the swimming pool and clubhouse owned by the Association for a private event, does hereby agree to release, indemnify and hold harmless Vineyards at St. Lucie West Residents' Association, Inc., its members, directors, officers and other agents, from any claim by myself, my heirs, assigns, guests, agents and invitees for any injury or damages occurring or related to the exclusive use of the swimming pool and clubhouse for the private event occurring on or about .

2022- RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT WITH ADULT AND/ OR AN ADULT ON BEHALF OF MINOR AT OHANA SURF SCHOOL.
Waiver and Indemnification Agreement • June 11th, 2022

NOTICE TO THE PARTICIPANT OR MINOR CHILD’S NATURAL GUARDIAN-READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO ENGAGE OR LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF OHANA SURF SCHOOL USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOU/ YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM, YOU ARE GIVING UP YOUR/ YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER FROM OHANA SURF SCHOOL IN A LAWSUIT FOR ANY ILLNESS OR PERSONAL INJURY, INCLUDING DEATH TO YOU/ YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND OHANA SURF SCHOOL HAS THE RIGHT TO REFUSE TO LET YOU/ YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.

CONSENT, RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • September 6th, 2020 • Texas

Maximum Chances, LLC (“Charity”), is a Texas charitable nonprofit organization offering financial support and services to individuals and families dealing with the financial burdens of autism (“Assistance”). In most cases this assistance is provided at a reduced rate directly through the Charity or through referrals to professional providers. The Charity requests that the individual, who has been diagnosed with autism and identified below (“Individual”) and/or the Individual’s parent or legal guardian execute this Consent, Release, Waiver and Indemnification in consideration for the Assistance.

WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • May 17th, 2021

Michigan Swimming, Inc. (“Michigan Swimming”), a Michigan nonprofit corporation, is a Local Swim Committee designated by USA Swimming to govern amateur competitive swimming events in Michigan. Among other responsibilities, Michigan Swimming sanctions competitive swimming events in Michigan.

MTL WAIVER AND INDEMNIFICATION AGREEMENT
Waiver and Indemnification Agreement • August 30th, 2022
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