Release Of Liability printable pdf download

Release of Liability

By my signature below, I signify that I have read, understand and voluntarily agree to the following.

In consideration of the Wartburg-Waverly Sports & Wellness Center at Wartburg College granting the

participant permission to participate in activities/programs, I hereby assume all risks of personal injury

(including death) and property damage that may result from any activity/program.

I do hereby release and agree to indemnify, defend, and hold harmless Wartburg College, the Board of Regents,

the Wartburg-Waverly Sports & Wellness Center, their employees, officials and agents, and all participants in

the program/activity from and against all liability, including claims and suits at law or in equity, for damages or

injuries, fatal or otherwise, which may result from any negligence or the participant taking part in

activities/programs offered by the Wartburg-Waverly Sports & Wellness Center at any location that these

activities may take place.

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Participants 18 years old and above sign here:

Participant Name:_____________________________________(Print) Date :_______________________

Participant Signature:__________________________________

Address ____________________________ City ________________ State/Zip ________

Contact phone number:______________________________________________________

Email address:_____________________________________________________________

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Families sign here:

Family Release of Liability (Parent/Guardian plus children under the age of 18)

Family Members: _____________________________ (Print)

______________________________

Parent/Guardian ______________________________

Date ____________

(Signature)

Parent/Guardian ______________________________

Date______________

(Signature)

Address ____________________________ City ________________ State/Zip ________

Contact Phone Number: ____________________________________________________

Email address:____________________________________________________________

Release Of Liability