SWB Hold Harmless Agreement .pdf

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Original filename: SWB Hold Harmless Agreement.pdf
Author: Kayliegh Hughes

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NAME:____________________________
LAST,

FIRST (Please Print)

1ST Annual Stefan Watermann Benefit Memorial Ride

PARTICIPANT RELEASE OF LIABILITY AND
ASSUMPTION OF RISK AGREEMENT
Organization Name: Stefan Watermann Benefit Memorial Ride

In consideration of being allowed to participate in any way in the ride, related events and
activities, I the undersigned, acknowledge, appreciate, and agree that:
1. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISK, both known and unknown,
EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or other, and
assume full responsibility for my participation;
2. I understand that photographs may be taken of me in connection with the STEFAN
WATERMANN BENEFIT MEMORIAL RIDE. I hereby consent to the taking of such
photographs and the publication of such photographs;
3. I willingly agree to comply with terms and conditions for participation. If I observe any
unusual significant hazard during my presence of participation I will remove myself from
participation and bring such to the attention of the nearest official immediately;
4.

I, for myself and on behalf of my heirs, assigns, personal representatives and next of
kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE STEFAN
WATERMANN BENEFIT MEMORIAL RIDE, its officers, officials, agents, and/or
employees, other participants, sponsors, advertisers, and, if applicable, owners and
leasers of premises used to conduct the event (RELEASEES), from any and all claims.
Demands, losses, and liability arising out of or related to any INJURY, DISABILITY, OR
DEATH I may suffer or loss or damage to personal property, WHETHER ARISING
FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest
extent permitted by law;

5. The risk of injury from the activities involved in this program is significant, including the
potential for permanent paralysis and death. I HAVE READ THIS RELEASE OF
LIABILITY AND ASSUMPTION OF RISK AGREEMENTS, FULLY UNDERSTAND ITS
TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY
SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY
INDUCEMENT.

____________________________________

____________________________________

PRINT NAME

SIGNATURE

DATE


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