RELEASE, WAIVER, ASSUMPTION OF RISK AND HOLD HARMLESS AGREEMENT
Date of Birth:
Date(s) of event:
Name of event:
Location of event:
PLEASE READ THIS DOCUMENT CAREFULLY BEFORE SIGNING. THIS IS A LEGALLY BINDING DOCUMENT.
THIS FULLY SIGNED FORM MUST BE SUBMITTED BEFORE ANY PERSON IS ALLOWED TO PARTICIPATE IN
THE ABOVE EVENT.
I, the undersigned, wish to participate in the above Event on the date(s) indicated above and I hereby agree as follows:
I acknowledge, understand and appreciate that as part of my participation in this Event there are dangers, hazards and inherent risks to
which I may be exposed, including the risk of serious physical injury, temporary or permanent disability, and death, as well as
economic and property loss. The dangers, hazards and risks may arise from my own actions, inactions, or negligence as well as from
the actions, inactions or negligence of others, or the