Release Of Liability, Waiver Of Claims Assumption Of Risks And Indemnity Agreement Form printable pdf download

Release Of Liability, Waiver Of Claims Assumption Of Risks And Indemnity Agreement Form

SAMPLE

APPENDIX B

RELEASE OF LIABILITY, WAIVER OF CLAIMS

ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT

By signing this document you will waive certain legal rights, including the right to sue.

PLEASE READ CAREFULLY

AWARENESS AND ASSUMPTION OF RISK

I am aware that________________________involves risks including risk of personal injury, death, property

damage, expense and related loss, including loss of income. Included in these risks are negligence on the part of

(Name of Association), its directors, officers, officials and volunteers, other participants and owners of the

facilities where the activities occur (referred to in the rest of this agreement as “(Name of Association) AND

OTHERS”). I freely accept and fully assume all such risks and the possibility of personal injury, death, property

damage, expense and related loss, including loss of income.

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

In consideration of (Name of Association) accepting my application to participate in this activity, I agree:

1. To waive any and all claims that I may have in future against (Name of Association) AND OTHERS.

2. To release the (Name of Association) AND OTHERS from any and all liability for any personal injury,

death, property damage, expense and related loss, including loss of income that I or my next of kin may

suffer as a result of my participation in this activity, due to any cause whatsoever, including negligence,

breach of contract or breach of any statutory duty of care.

3. To hold harmless and indemnify (Name of Association) AND OTHERS from any and all liability for any

damage to property of, or personal injury to, any third party, resulting from my participation in this activity.

4. That this agreement is binding on not only myself but my next if kin, heirs, executors, administrators and

assigns.

I HAVE READ THIS AGREEMENT AND UNDERSTAND IT. I AM AWARE THAT BY SIGNING

THIS DOCUMENT I AM WAIVING CERTAIN RIGHTS WHICH I OR MY NEXT OF KIN, HEIRS,

EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST (NAME OF

ASSOCIATION) AND OTHERS.

Signed this____________day of ____________________________________,200___.

_____________________________

___________________________

Witness

Signature of Applicant

______________________________

____________________________

Please Print Name Clearly

Please print name clearly

CanoeKayak Canada

Release Of Liability, Waiver Of Claims Assumption Of Risks And Indemnity Agreement Form