RELEASE AND HOLD HARMLESS AGREEMENT

RELEASE AND HOLD HARMLESS AGREEMENT

I, {Name}, understand that my participation and/or involvement in {activity, event, program, etc.} carries with it the potential for certain risks, some of which may not  be reasonably foreseeable.

I further acknowledge that these risks could cause me, or others around me, harm, including, but not limited to, bodily injury, damage to property, emotional distress, or death.

I am a willing participant in {activity, event, program, etc.}.

By signing this agreement, I agree to release, indemnify, and hold harmless {company, individual, group, etc.}, as well as all {their/its} employees, agents, representatives, successors, etc. from all losses, claims, theft, demands, liabilities, causes of action, or expenses, known or unknown, arising out of my {participation in, attendance at, etc.} {activity, event, program, etc.}.

Signed:

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Printed Name

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Signature

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Witness Name

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Signature