Illinois Affidavit of Liability

Illinois Affidavit of Liability

STATE OF ILLINOIS
COUNTY OF [County Name]

Introduction:

I, [YOUR NAME], residing at [YOUR ADDRESS], being duly sworn, hereby affirm and declare the following regarding my participation in skydiving, organized by [YOUR COMPANY NAME], located at [YOUR COMPANY ADDRESS]:

Statement of Facts:

  1. I recognize and understand the inherent risks associated with participating in skydiving, which may include, but are not limited to, physical injury, disability, death, and property damage.

  2. I affirm that I am voluntarily participating in these activities with full knowledge of the potential risks involved.

  3. I hereby assume all risks, both known and unknown, of participating in skydiving, even if those risks arise from the negligence of the organizers, other participants, or third parties.

  4. To the fullest extent permitted by law, I release and hold harmless [YOUR COMPANY NAME], its employees, agents, directors, affiliates, and any other participants in skydiving from any and all liability, claims, demands, actions, and causes of action whatsoever directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me while participating in such activity or while on premises owned or leased by [YOUR COMPANY NAME].

Indemnification:

I agree to indemnify and hold harmless [YOUR COMPANY NAME] from any and all liabilities or claims made as a result of my participation in skydiving, whether caused by the negligence of myself, [YOUR COMPANY NAME], or otherwise.

  • I attest that I am physically fit and sufficiently prepared for participation in skydiving. I have not been advised against participation by a medical professional.

Understanding of Document:

I acknowledge that I have read this Affidavit of Liability and Risk Acknowledgment, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature for this to be a complete and unconditional release of all liability to the greatest extent allowed by law.

Signature:

[YOUR NAME]

DATED this [DAY] of [Month], [Year].

[Notary's Name]

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Introduction

I, [Affiant's Name], residing at [Affiant's Address], am competent over the age of 18, and capable to make this affidavit.

Statement of Facts

1. I am currently employed or participating in activities with [YOUR COMPANY NAME], which is located at [YOUR COMPANY ADDRESS]. 2. I am fully aware of the inherent risks involved in the high-risk activities (like extreme sports) I am undertaking. 3. I willingly accept all risks and hazards inherent in the nature of these high-risk activities and assume full responsibility for any and all injuries, losses and damages that occur as a result of participating in these activities. 4. I hereby waive any legal rights to claim compensation or to sue [YOUR COMPANY NAME], its directors, officers, employees, and agents, for any bodily injuries or damages I may suffer as a result of my participation in these activities. 5. I affirm that all statements made herein are true and accurate to the best of my knowledge and belief.

Sworn Oath

I, [Affiant's Name], affirm under penalty of perjury under the laws of the state of [Your State], that the foregoing is true and correct.

Signature

_________________
[Affiant’s Name]
[Date]