Florida Liability Waiver Form

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

LIABILITY WAIVER AND RELEASE FORM

**Participant Name:** {{participant_name}}

**Date of Birth:** {{participant_dob}}

**Activity:** {{activity_description}}

**Date(s) of Activity:** {{activity_dates}}

**Location of Activity:** {{activity_location}}

ASSUMPTION OF RISK

I, the undersigned participant, acknowledge and understand that participating in the activity of {{activity_description}} involves inherent risks, dangers, and hazards which may result in injury, illness, disability, or death. These risks may include, but are not limited to: {{list_of_risks}}. I voluntarily assume and accept all risks associated with participation in this activity, whether foreseen or unforeseen, and waive any claims against {{company_name}} for any injuries, damages, or losses sustained by me, my property, or my heirs, arising out of my participation.

RELEASE OF LIABILITY

In consideration of being permitted to participate in the aforementioned activity, I, for myself, my heirs, personal representatives, and assigns, hereby release, waive, discharge, and covenant not to sue {{company_name}}, its officers, directors, employees, agents, and volunteers (hereinafter referred to as 'Releasees'), 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 Releasees or otherwise, while participating in the activity, or while in, on, or upon the premises where the activity is being conducted.

MEDICAL TREATMENT

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, or illness during this activity. I agree to be responsible for any medical expenses incurred as a result of such treatment.

INDEMNIFICATION

I agree to indemnify and hold harmless the Releasees from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including attorney’s fees, incurred by the Releasees as a result of my participation in the activity, or my violation of any safety rules or instructions.

ACKNOWLEDGMENT AND UNDERSTANDING

I certify that I am 18 years of age or older, or that I am the parent/legal guardian of a minor participant and have the legal authority to sign this waiver on their behalf. I have read this Liability Waiver and Release Form, fully understand its terms, understand that I have given up substantial rights by signing it, and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law in the State of Florida. I agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.

SIGNATURE

_________________________________________

Participant Signature

{{participant_name}}

{{date}}

_________________________________________

Printed Name of Parent/Legal Guardian (if participant is a minor)

{{parent_guardian_name}}

{{date}}