LAOO Release of Liability Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

In consideration of being allowed to participate in any way in the Outdoor Odyssey program, its related events and activities, I, __________________________ the undersigned, acknowledge, appreciate, and agree that: *

Please type participant's full legal name

1. The risk of injury from the activities involved in this program is significant, including potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Company immediately; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Outdoor Odyssey, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity ("Releases"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER, ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. *

Please type participant's full legal name below.

Confirmation. *

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

Required

Participant's Age *

Please enter participant's age.

Participant's Gender *

Please enter participant's gender.

Female

Male

Date Signed *

Please enter today's date.

YYYY

Email Address *

Please enter participant's email address.

Phone Number *

Please enter participant's phone number.

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE

UNDER AGE 18 AT TIME OF REGISTRATION

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and, for myself, my child and our heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releases from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES, to the fullest extent permitted by law.

Parent/Guardian Signature *

Please type parent/guardian full legal name below.

Confirmation *

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

Required

Date signed *

Please enter today's date.

YYYY

In case of emergency, notify: *

Please enter the name of an emergency contact person.

Emergency contact number *

Please enter the phone number of the emergency contact list above.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Lake Highland Preparatory School. Report Abuse

Forms