Waiver

Waiver

Participant Information

Participant Name: [Your Name]
Date of Birth:
12/06/2050
Address:
Lincoln, NE 68501
Phone Number:
222 555 7777
Email: [Your Email]

Emergency Contact Information

Contact Name: Pearl Bergna
Relationship:
Sister
Phone Number:
222 555 7777
Email:
pearl@you.mail

Assumption of Risk

By signing this waiver, I acknowledge that participation in recreational activities involves inherent risks, including but not limited to:

  • Bodily injury

  • Property damage

  • Medical emergencies

  • Emotional distress

I voluntarily assume all such risks associated with participation in these activities.

Release of Liability

I hereby release, waive, and discharge the organization, its officers, employees, and agents from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury, including death, that may be sustained by me or to any property belonging to me, arising out of or in connection with my participation in the recreational activities.

Medical Treatment

In the event of an emergency, I authorize the organization to secure from any accredited hospital, clinic, and/or physician any treatment deemed necessary for my immediate care. I agree to be responsible for the costs of such medical treatment.

Indemnification

I agree to indemnify and hold harmless the organization, its officers, employees, and agents from any loss, liability, damage, or cost, including reasonable attorneys' fees, they may incur arising out of or related to my participation in the recreational activities.

Governing Law

This waiver shall be governed by and construed in accordance with the laws of the state in which the recreational activities take place.

Signature

By signing below, I acknowledge that I have read, understood, and agree to the terms and conditions of this waiver.

Participant Signature:


Date: April 07, 2077

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