Insurance Waiver
Insurance Waiver
I. Introduction
This Insurance Waiver Agreement ("Agreement") is entered into between [YOUR COMPANY NAME], located at [YOUR COMPANY ADDRESS], ("Company") and the undersigned participant, ("Participant"), effective as of the date of Participant's signature below.
II. Purpose
The purpose of this Agreement is to release and discharge the Company from any and all liability for personal injury, property damage, or wrongful death that may arise out of Participant's participation in [ACTIVITY/EVENT/SERVICE] provided by the Company.
III. Assumption of Risk
Participant acknowledges and understands that [ACTIVITY/EVENT/SERVICE] involves inherent risks, including but not limited to [list of specific risks, e.g., slips, falls, collisions, equipment malfunctions, etc.]. Participant voluntarily assumes all risks associated with participation in [ACTIVITY/EVENT/SERVICE].
IV. Release and Waiver of Liability
Participant hereby releases, waives, discharges, and covenants not to sue the Company, its officers, directors, employees, agents, contractors, and representatives (collectively, "Released Parties") from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by Participant while participating in [ACTIVITY/EVENT/SERVICE], whether caused by the negligence of the Company or otherwise.
V. Indemnification
Participant agrees to indemnify, defend, and hold harmless the Released Parties from and against any and all claims, demands, liabilities, damages, expenses, and costs, including reasonable attorneys' fees, arising out of or related to Participant's participation in [ACTIVITY/EVENT/SERVICE].
VI. Medical Authorization
Participant authorizes the Company and its representatives to seek medical treatment for Participant in the event of any injury, accident, or illness occurring during participation in [ACTIVITY/EVENT/SERVICE], if deemed necessary. Participant agrees to be responsible for all costs associated with such medical treatment.
VII. Governing Law and Jurisdiction
This Agreement shall be governed by and construed in accordance with the laws of the [STATE/COUNTRY]. Any dispute arising out of or relating to this Agreement shall be subject to the exclusive jurisdiction of the courts located in [COUNTY, STATE/COUNTRY].
VIII. Acknowledgment of Understanding
Participant acknowledges that Participant has carefully read this Agreement, understands its contents, and voluntarily agrees to its terms and conditions. Participant further acknowledges that this Agreement shall be binding upon Participant, Participant's heirs, assigns, and legal representatives.
IX. Signature
IN WITNESS WHEREOF, Participant has executed this Agreement as of the date indicated below.
Participant's Full Name:
Participant's Signature:
[Date]
X. Company Representative Signature
By signing below, a representative of the Company acknowledges receipt of this Agreement.
Company Representative's Full Name:
Company Representative's Signature:
[Date]
