Company Letterhead
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
LIABILITY WAIVER AND RELEASE FORM
This Liability Waiver and Release Form (hereinafter, the "Agreement") is entered into on this {{day}} day of {{month}}, {{year}}, by and between:
**{{participant_full_name}}** (hereinafter, the "Participant"), residing at {{participant_address}}, and
**{{company_name}}** (hereinafter, the "Company"), with its principal place of business at {{company_address}}.
ACKNOWLEDMENT OF RISKS
I, the Participant, hereby acknowledge and understand that participation in the activity of {{activity_description}} (hereinafter, the "Activity") involves inherent risks, dangers, and hazards that may result in injury, illness, disability, death, or property damage. These risks include, but are not limited to: {{list_of_risks_specific_to_activity}}.
I further acknowledge that the Company has made me aware of the potential risks associated with the Activity and that I have had the opportunity to ask questions regarding the Activity and its associated risks. I understand that the Company does not guarantee my safety or freedom from injury.
ASSUMPTION OF RISK
I voluntarily assume all risks, known and unknown, associated with my participation in the Activity, including but not limited to, the risk of negligence on the part of the Company, its employees, agents, or other participants. I understand that this assumption of risk means that I will not hold the Company responsible for any injuries, damages, or losses that I may sustain as a result of my participation in the Activity.
RELEASE OF LIABILITY
In consideration for being permitted to participate in the Activity, I, for myself, my heirs, executors, administrators, and assigns, hereby release, covenant not to sue, discharge, and hold harmless the Company, its officers, directors, employees, agents, and representatives, from any and all claims, demands, losses, damages, liabilities, and causes of action of any kind or nature, whether foreseen or unforeseen, arising out of or in any way related to my participation in the Activity, including but not limited to, those arising from the negligence of the Company, its officers, directors, employees, agents, or representatives. This release includes, but is not limited to, personal injury, property damage, or wrongful death.
INDEMNIFICATION
I agree to indemnify and hold harmless the Company, its officers, directors, employees, agents, and representatives from any and all claims, demands, losses, damages, liabilities, and causes of action arising out of my participation in the Activity, including but not limited to, any claims brought by third parties due to my actions or inactions during the Activity.
MEDICAL TREATMENT
I authorize the Company to seek emergency medical treatment for me, if necessary, and I agree to be responsible for all costs associated with such treatment. I understand that the Company is not responsible for providing medical insurance or paying for medical expenses incurred as a result of my participation in the Activity.
GOVERNING LAW AND VENUE
This Agreement shall be governed by and construed in accordance with the laws of the State of Texas, without regard to its conflict of laws principles. Any disputes arising under or in connection with this Agreement shall be brought exclusively in the state or federal courts located in {{county}}, Texas.
SEVERABILITY
If any provision of this Agreement is found to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.
ENTIRE AGREEMENT
This Agreement constitutes the entire understanding between the Participant and the Company concerning the subject matter hereof and supersedes all prior agreements, understandings, negotiations, and discussions, whether oral or written, between the parties.
SIGNATURES
**PARTICIPANT:**
Signature: __________________________
Printed Name: {{participant_full_name}}
Date: {{signature_date}}
**PARENT/LEGAL GUARDIAN (if Participant is under 18 years of age):**
Signature: __________________________
Printed Name: {{guardian_full_name}}
Date: {{guardian_signature_date}}
Relationship to Participant: {{relationship_to_participant}}
**COMPANY REPRESENTATIVE (if applicable):**
Signature: __________________________
Printed Name: {{company_representative_full_name}}
Title: {{company_representative_title}}
Date: {{company_signature_date}}
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