California Liability Release Form

{{company_name}}

{{company_address}}

Phone: {{phone}} | Email: {{email}} | Web: {{website}}

California Liability Release Form

California Liability Release Form

RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT

BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. PLEASE READ CAREFULLY.

ASSUMPTION OF RISK

I, the undersigned, understand and acknowledge that participation in {{activity_name}} (hereinafter referred to as "the Activity") involves inherent risks, dangers, and hazards which may result in injury, illness, disability, death, or property damage. I further understand that these risks may be caused by my own actions or inactions, the actions or inactions of others, the conditions in which the Activity takes place, or the negligence of the Released Parties (as defined below). I voluntarily accept and assume all risks of injury, illness, disability, death, or property damage arising from the Activity, whether caused by the negligence of the Released Parties or otherwise.

RELEASE AND WAIVER OF CLAIMS

In consideration of being permitted to participate in the Activity, I hereby agree to release, waive, discharge, and covenant not to sue {{company_name}} (hereinafter referred to as "the Company"), its officers, directors, employees, agents, volunteers, and independent contractors (hereinafter collectively referred to as "the Released Parties") from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or any property belonging to me, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES OR OTHERWISE, while participating in the Activity, or while in, on or upon the premises where the Activity is being conducted.

INDEMNIFICATION

I further agree to indemnify and hold harmless the Released Parties from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including attorney’s fees, incurred by the Released Parties as a result of my participation in the Activity, or as a result of any claims made by my estate, heirs, executors, administrators, and assigns arising out of my participation in the Activity.

MEDICAL TREATMENT

I authorize the Company to obtain medical care for me, if necessary, and agree to be responsible for all costs associated with such care. I understand that the Released Parties assume no responsibility for any injury or damage which might arise out of or in connection with such authorized medical treatment.

SEVERABILITY

I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

GOVERNING LAW AND JURISDICTION

This Agreement shall be governed by and construed in accordance with the laws of the State of California. Any disputes arising under or in connection with this Agreement shall be subject to the exclusive jurisdiction of the state and federal courts located in California.

ACKNOWLEDGMENT OF UNDERSTANDING

I have read this Release of Liability, Waiver of Claims, Assumption of Risks, and Indemnity Agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and have signed it freely and voluntarily without any inducement, assurance, or guarantee being made to me. I intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

Participant Information

Participant Name: {{participant_name}}

Address: {{participant_address}}

City: {{participant_city}}

State: {{participant_state}}

Zip Code: {{participant_zip}}

Phone: {{participant_phone}}

Email: {{participant_email}}

Date of Birth: {{participant_dob}}

Signature

{{undersigned_signature}}

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Participant's Signature

Date: {{signature_date}}

{{printed_name}}

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Printed Name