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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