Waiver And Release Of Liability And Indemnity Agreement Form printable pdf download

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WAIVER AND RELEASE OF LIABILITY AND INDEMNITY AGREEMENT

This is a Waiver and Release of your legal rights, and an Agreement not to sue.

Serious Injury or Death may result from participating in recreational activities.

In consideration of being permitted to participate in the recreational activity, and

specifically including the riding of all terrain vehicles (ATV’s), the undersigned (Releasor”)

executes this Waiver and Release of Liability and Indemnity Agreement (“Release) and hereby

states and agrees as follows:

Parent/Guardian’s Name: ___________________________________________________________

Child’s Name: ________________________________________ Email: _____________________

Home Address: ________________________________ City:_________________ State:________

Parent/Guardian Emergency Contact Name and Telephone Numbers:

Name: ________________________________

Relationship: _________________________

Home Phone: ______________ Work Phone: _______________ Cell Phone: ______________

I am aware of the risks of injury and death inherent in recreational activities (including the

operation of ATV’s) and I acknowledge that I have read this entire Wavier and Release. I hereby

expressly assume all risk associated with all such recreational activities.

I hereby release, waive and discharge Jerry and Tina Talsma and Trail’s End Ranch (Talsma)

of Avon, South Dakota, their employees, all other persons or entities acting on their behalf, and any

landowners (including Annetta Talsma) or lessors allowing Talsma to use their land for recreational

activities, including the operation of ATV’s (referred to as “Releasees”), from all liability to me and

my spouse, legal representatives, heirs, successors and assigns, for any and all loss, injury or damage,

and any and all claims arising on account of injury to my person or property or my death while I am

engaged in any recreational activity in any way operated, managed or coordinated by Talsma. I

hereby waive my right to sue Talsma and the aforementioned landowner on account of injury to my

person or property, or my death while engaging in recreational activities. I hereby agree to

indemnify and hold harmless Releasees from any loss, liability, damage or cost they may incur due to

my presence in, upon, or around property being used for the recreational activity for the purpose of or

due to my participation in such activity. By signing this document, I agree and acknowledge that I

may be giving up important legal rights and remedies available to myself, my family, my heirs,

successors and assigns.

Waiver And Release Of Liability And Indemnity Agreement Form