Release of Liability
This Release of Liability is made on this ____ day of __________, 20___, by and between:
Releasor: ____________________________ (Name)
Address: ____________________________
City, State, Zip: ____________________________
and
Releasee: ____________________________ (Name)
Address: ____________________________
City, State, Zip: ____________________________
This Release is governed by the laws of the State of __________.
In consideration for being permitted to participate in the following activity:
_________________________________________________________ (describe activity), I, the Releasor, agree to the following:
- I acknowledge that participation in this activity involves certain risks, including but not limited to the risk of injury or death.
- I voluntarily assume all risks associated with my participation.
- I release, waive, and discharge the Releasee from any and all claims, liabilities, or causes of action that may arise from my participation.
- This release applies to any and all injuries, whether caused by the negligence of the Releasee or otherwise.
- I agree to indemnify and hold harmless the Releasee from any claims brought by third parties as a result of my participation.
I have read this Release of Liability and understand its contents. I am aware that by signing this document, I am giving up certain legal rights.
Signature of Releasor: ____________________________
Date: ____________________________
Signature of Witness: ____________________________
Date: ____________________________