Sample Release of Liability
SAMPLE RELEASE OF LIABILITY
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Name |
[Participant’s Name] |
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Company Name |
[Your Company Name] |
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Department |
[Your Department] |
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Date |
[Date of Agreement] |
I. Introduction
This Sample Release of Liability Agreement ("Agreement") is entered into on [Date of Agreement], by and between [Participant's Name], hereinafter referred to as "Releasor," and [Your Company Name], located at [Your Company Address], hereinafter referred to as "Releasee." The purpose of this Agreement is to provide a clear understanding between the parties regarding the Releasor's participation in [Activity or Event] and to release the Releasee from any potential liability associated with said participation.
II. Description of Activity or Event
The Releasor agrees to participate in the following activity or event:
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[Activity or Event #1]
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[Activity or Event #2]
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[Activity or Event #3]
This activity or event is scheduled to take place on [Date(s) of Activity or Event], at [Location of Activity or Event].
III. Acknowledgment of Risks
The Releasor acknowledges and fully understands that participating in [Activity or Event] involves risks and dangers, including, but not limited to:
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Risk of injury from the activity itself
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Risk of injuries caused by others
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Risk of injuries from the environment
Releasor hereby accepts all responsibility for any losses and/or damages, whether caused in whole or in part by the negligence or other conduct of the Releasee.
IV. Release and Waiver of Claims
The Releasor hereby releases, waives, and discharges [Your Company Name], its officers, directors, employees, volunteers, and agents from all liability to the Releasor, his/her personal representatives, assigns, heirs, and next of kin for any and all loss or damage, and any claim or demands therefor on account of injury to the person or property or resulting in death of the Releasor, arising out of or related to the event(s) or activity(ies) for which the Releasor has registered, whether caused by the negligence of the Releasee or otherwise.
V. Indemnification
The Releasor also agrees to indemnify and hold harmless the Releasee from any and all claims, actions, suits, costs, expenses, damages, and liabilities, including attorney fees, resulting from or arising out of the Releasor's participation in [Activity or Event].
VI. Severability
In the event that any provision of this Agreement is held to be invalid, illegal, or unenforceable, the remaining provisions shall remain in full force and effect.
VII. Acknowledgment
This Agreement represents the entire agreement between the parties regarding the subject matter herein and supersedes all prior negotiations, representations, or agreements, either written or oral. This Agreement may only be amended in writing, signed by both parties. The Releasor acknowledges having read this Agreement, understanding its terms, and signing it voluntarily.
Releasor’s Signature:
[Participant’s Name]
[Date]
Releasee’s Signature:
[Your Company Name]
[Date]
Witness’s Signature (if applicable):
[Witness’s Name]
[Date]
