Liability Release Form

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Liability Release Form
Effective Date
____/____/______
Between
[Legal Company Name], further referred to as “[Business]”,
A
[State] [Type of legal entity],
Located at
[Address]
[City], [State] [Zip Code]
And
[Participant’s Name], further referred to as “[Participant]”
A
[State] [Type of legal entity],
Located at
[Address]
[City], [State] [Zip Code]
The undersigned agrees and does hereby release from all liability and hold harmless [Business]
and any of its employees representing or related to the [Business]. This liability release is for
any and all liability for personal injuries including death and property losses or damage in
connection with any activity or accommodation of the above mentioned Business. The
undersigned does hereby further agree to abide by all the rules and regulations that are
presented by [Business].
Applicable Law
This contract shall be governed by the laws of the State of __________ in __________ County and
any applicable Federal Law.
__________________________________________________________
Date____________
Signature of Participant
_____________________________________
Print Name
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