1. Parties and Activity
This Release and Waiver of Liability (the "Waiver") is made on [DATE] by [PARTICIPANT NAME], residing at [PARTICIPANT ADDRESS] (the "Participant"), in favor of [ORGANIZATION NAME], located at [ORGANIZATION ADDRESS], together with its owners, employees, contractors, and volunteers (the "Released Parties"). This Waiver relates to the Participant's participation in [DESCRIBE ACTIVITY] at [LOCATION] on or from [DATE(S)] (the "Activity").
2. Voluntary Participation
The Participant confirms that participation in the Activity is entirely voluntary and that the Participant has chosen to participate despite the risks described in this Waiver.
3. Acknowledgment of Risks
The Participant understands that the Activity involves inherent risks, including but not limited to [LIST RISKS, e.g. falls, collisions, equipment failure, weather conditions, physical exertion], which may result in minor injury, serious injury, illness, death, or damage to or loss of property. Some risks cannot be eliminated without changing the essential nature of the Activity.
4. Assumption of Risk
The Participant knowingly and voluntarily assumes all risks, known and unknown, associated with the Activity, even if arising from the ordinary negligence of the Released Parties, to the fullest extent permitted by law.
5. Release of Liability
To the fullest extent permitted by law, the Participant releases, waives, and discharges the Released Parties from any and all claims, demands, and causes of action arising out of or related to the Participant's participation in the Activity. This release does not apply to claims arising from gross negligence, willful misconduct, or any liability that cannot lawfully be waived.
6. Indemnification
The Participant agrees to indemnify and hold harmless the Released Parties from any loss, liability, or cost, including reasonable legal fees, resulting from the Participant's own conduct or breach of this Waiver, to the extent permitted by law.
7. Health and Fitness
The Participant confirms that they are in good health, have no medical condition that would make participation unsafe, and will inform [ORGANIZATION NAME] of any relevant condition before the Activity. The Participant agrees to follow all safety rules and instructions and to stop participating if they feel unwell or unsafe.
8. Medical Treatment Authorization
If the Participant is injured or becomes ill, the Participant authorizes [ORGANIZATION NAME] to obtain emergency medical treatment on their behalf. The Participant is responsible for the cost of any such treatment. Emergency contact: [EMERGENCY CONTACT NAME AND PHONE].
9. Minors
If the Participant is under [AGE OF MAJORITY] years old, a parent or legal guardian must sign this Waiver. The parent or guardian agrees to its terms on behalf of the minor and on their own behalf, to the extent permitted by law.
10. Governing Law and Severability
This Waiver is governed by the laws of [GOVERNING LAW JURISDICTION]. It is intended to be as broad as the law allows. If any part is held invalid, the remainder continues in full force and effect.
11. Signatures
BY SIGNING, THE PARTICIPANT CONFIRMS THEY HAVE READ AND UNDERSTOOD THIS WAIVER AND ARE GIVING UP CERTAIN LEGAL RIGHTS. The Participant agrees that this Waiver may be signed electronically, and that an electronic signature has the same effect as a handwritten signature. PARTICIPANT: [PARTICIPANT NAME] Signature: ____________________ Date of Birth: [DATE OF BIRTH] Date: [DATE] PARENT OR GUARDIAN (if Participant is a minor): [GUARDIAN NAME] Signature: ____________________ Date: [DATE] [ORGANIZATION NAME] Signature: ____________________ Name: [REPRESENTATIVE NAME] Date: [DATE]