Monday, 19 April 2021 17:21

COVID-19 Legal Liability Waiver / Agreement

__________________________________ RELEASE OF LIABILITY WAIVER AND ASSUMPTION OF RISK I desire to participate in the ___________________, provided by the __________________________________, a (YOUR STATE HERE) (TYPE OF ORGANIZATION HERE) organization (“___________________") conducted on at , (YOUR STATE HERE). (“(Activity)”). As lawful consideration for being permitted by the to participate in the (Activity), I agree to all the terms and conditions set forth in this Release of Liability and Waiver and Assumption of Risk ("Agreement").

I AM AWARE AND UNDERSTAND THAT THE ACTIVITIES CONDUCTED AT ____ ARE DANGEROUS AND MAY POSE THE RISK OF SERIOUS INJURY, DEATH, AND PROPERTY DAMAGE. ALSO, I AM AWARE OF THE CONTAGIOUS NATURE OF THE CORONAVIRUS DISEASE (COVID-19) AND THE RISK THAT I MAY BE EXPOSED TO OR CONTRACT THE DISEASE BY PARTICIPATING IN THE ___. NOTWITHSTANDING THE RISKS ASSOCIATED WITH THE (Activity), I ACKNOWLEDGE THAT I AM KNOWINGLY AND VOLUNTARILY PARTICIPATING IN THE ___ WITH AN EXPRESS UNDERSTANDING OF THE DANGER INVOLVED. I AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, DEATH, AND PROPERTY DAMAGE, THAT IS CAUSED BY OR MAY RESULT FROM THE NEGLIGENCE OF ___ OR ANY OTHER PARTICIPANT TO THE FULLEST EXTENT PERMITTED BY LAW.

By signing below I expressly waive and release any and all claims, now known or hereafter known, against ___, and its officers, directors, employees, agents, affiliates, successors, and assigns (collectively, "Releasees"), for any injury, illness, disability death, or property damage arising out of my participation in the (Activity), whether arising out of the negligence of ___, any Releasees, or any other participants, to the fullest extent permitted by law. I promise not to make or bring any such claim against ___ or any of the Releasees, and forever release and discharge ___ and the Releasees from liability under such claims.

This Agreement constitutes the sole and entire agreement between ___ and me with respect to the subject matter. This Agreement is binding on and shall inure to the benefit of ___, its successors and assigns, and me and my heirs, beneficiaries, and personal representatives. All matters arising out of or relating to this Agreement shall be governed by and construed in accordance with the internal laws of the State of (YOUR STATE HERE) without giving effect to any choice or conflict of law provision or rule (whether of the State of (YOUR STATE HERE) or any other jurisdiction). Any claim or cause of action arising under this Agreement may be brought only in federal and state courts located in (YOUR NEAREST FEDERAL COURT HERE) and I hereby consent to venue in, and the exclusive jurisdiction of, such courts.

BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL OF THE TERMS OF THIS AGREEMENT AND THAT I AM AT LEAST EIGHTEEN (18) YEARS OF AGE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS TO THE FULLEST EXTENT PERMITTED BY LAW, INCLUDING THE RIGHT TO SUE THE __.

Signed: _ Printed Name of Participant: Address: City: State: Zip Code: Date:

Last modified on Monday, 19 April 2021 17:32
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    - Benjamin Franklin

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