This Waiver and Assumption of Risk will release a company or individual from all liability for injuries, property damage or death which may result from participation in a physical activity. Examples of such activities could include karate tournaments, marathons, swimming competitions or weight lifting competitions. By signing this Waiver the participant acknowledges the risks and dangers associated with the activity.
WAIVER AND ASSUMPTION OF RISK
I, ______________________ of __________________________________ , hereby fully waive and release ______________________________ of _____________________________________ (the “Releasee”), from any and all claims for personal injury, property damage, or death that may result from my participation in the following physical activities:
I hereby voluntarily, at my own risk, sign this Waiver and Assumption of Risk in sole consideration of being permitted to use the Company’s facilities or property.
I hereby acknowledge and understand that there are dangers and risks associated with the activities described above, which have been fully explained to me. I hereby agree to abide by all rules, instructions, policies and procedures imposed by the Releasee relating to the use of the facilities or property.
By signing this Waiver and Assumption of Risk, I fully assume the dangers and risks, and agree to use my best judgment while engaging in those activities. I further agree to indemnify and hold harmless the Releasee, its employees, agents, officers, from and against any and all liability incurred as a result of or in any manner related to my participation in the activities.
I hereby certify that I am of legal age and competent to execute this Waiver and Assumption of Risk, that in doing so of my own free will and accord, voluntarily and without duress, and that I do so intending to bind myself, my executor, my heirs, and administrators or assigns to the fullest extent.
I have read and understood the foregoing, and acknowledge my consent to the terms of this Waiver & Assumption of Risk by signing this Waiver.
Witness: __________________________ _________________________________
Name: ____________________________ Address: __________________________ Telephone: ________________________