Personal Injury Release of Liability
This Release of Liability Form ("Release") is entered into on this August 28, 2024 by and between:
Releasee: [YOUR NAME] located at [YOUR COMPANY ADDRESS] ("Releasee")
and
Releasor: Emily Parker located at 123 Maple Avenue, Apt 5B, Springfield, IL 62704 ("Releasor")
I. RELEASE OF CLAIMS
In consideration of being permitted to participate in the Activity, the Participant, on behalf of themselves, their heirs, successors, assigns, and personal representatives, hereby releases, waives, discharges, and covenants not to sue the Provider, its directors, officers, employees, volunteers, agents, and representatives from 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 the Participant during or arising out of participation in the Activity.
II. CONSIDERATION
The Participant acknowledges that the Participant is participating in the Activity voluntarily and that the Participant has not been coerced, pressured, or otherwise influenced to participate in the Activity.
III. ACKNOWLEDGING OF UNDERSTANDING
The individual who is taking part in this activity, henceforth referred to as "the Participant", is acknowledging that he or she has carefully read and taken into account all the terms and conditions stated in this legally binding Release document. It is also thoroughly understood by the Participant that by agreeing to the terms and conditions of this agreement, they are relinquishing notable rights that they possess.
The individual, referred to as "the Participant," is required to read the terms and conditions of the document thoroughly and ensure comprehension of its contents.
By acknowledging the understanding of the terms, the Participant is also acknowledging the relinquishment of certain rights, such as the right to take legal action, commonly known as waiving such rights.
The Participant comprehends the implications of agreeing to the terms and conditions, which includes releasing certain rights or claims they may have.
Upon agreeing to the terms, the Participant surrenders or gives up certain rights or privileges that they might have had otherwise.
The Participant recognizes the seriousness of the commitments they are undertaking by consenting to the terms of the document, which may include forfeiting certain legal options or courses of action.
This includes but is not limited to, the potent right to take legal action or sue. Therefore, the Participant comprehends its implications thoroughly and recognizes the seriousness of the commitments they're undertaking by consenting to the terms of this Release.
IV. ASSUMPTION OF RISK
The Participant acknowledges and understands that participation in the Activity involves inherent risks, including but not limited to those associated with the outdoor activity, such as uneven terrain, weather conditions, wildlife encounters, etc. The Participant hereby assumes all risks associated with participation in the Activity, whether known or unknown, foreseeable or unforeseeable, and accepts personal responsibility for any damages, injury, or death that may result.
V. INDEMNIFICATION
The Participant agrees to protect the Provider from all liabilities, costs, and claims related to the Participant's involvement in the Activity.
V.I Scope of Indemnification: The Participant assumes responsibility for indemnifying the Provider, encompassing any claims, liabilities, or expenses arising directly from their involvement in the Activity, ensuring protection for the Provider and its affiliates.
V.II Legal Defense Obligation: In agreeing to indemnify, the Participant commits to not only covering financial losses incurred by the Provider but also providing legal defense if any claims or demands emerge, including bearing attorney fees where necessary.
V.III Comprehensive Protection: This indemnification clause extends to shield the Provider, including its directors, officers, and agents, from all potential damages, costs, or losses linked to the Participant's engagement in the Activity, fostering a comprehensive safeguarding mechanism.
VI. SEVERABILITY
If any specific clause or term from this Release is considered or judged to be invalid, or if it's found to be unenforceable for any reason, this does not diminish the validity or enforceability of the rest of the stipulations and terms within this Release. Despite the invalidity or unenforceability of one part, the remaining parts will continue to be upheld as effective and will carry the full force and authority of the law.
VII. GOVERNING LAW AND JURISDICTION
This Release shall be governed by and construed under the laws of Illinois, without regard to its conflicts of law principles. Any dispute arising out of or related to this Release shall be exclusively resolved by the courts located in Illinois.
IN WITNESS WHEREOF, the Participant has executed this Release as of the date first above written.
Releasor’s Signature:
Emily Parker
August 28, 2024
Releasee’s Signature:
[YOUR COMPANY NAME]
August 28, 2024
Witness’s Signature (if applicable):
Michael Johannson
August 28, 2024
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