Simple Release of Liability Form

Simple Release of Liability Form

Please complete this form to confirm that you understand and accept all associated risks.

Releasor Information

Name

    Address

      Releasor Information

      Business/Organization Name

      Business Address

        Release

        I, the undersigned, hereby release and hold harmless [Your Company Name], its employees, agents, and affiliates, from any and all liability, claims, demands, or actions that may arise out of or related to any harm, injury, damage, or loss that may occur in connection with the Activity/Service provided by [Your Company Name].

        I understand that this release covers any injury or damage caused by negligence or otherwise. I certify that I am participating at my own risk and assume for my involvement in Activity/Service .

        Name:

        Date:

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