General Release of Liability Form  
Accident Waiver and Release of Liability Form
Email *
Today's Date: *
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Indemnor's Full Name: *
 Address: 1580 Mallory Ln, Brentwood, TN 37027
Entities Involved: 
SPCA of Tennessee & Porsche of Nashville

This Agreement is executed effective on the date specified in the 'Today's Date' section above, by whose full name is specified in the 'Indemnor's Full Name' section above, in the address that is specified in the 'Address' section above, HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES being conducted by "The SPCA of Tennessee" and "Porsche of Nashville" including, by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.

I, the indemnor, CERTIFY that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I CERTIFY that there are no health-related reasons or problems which preclude my participation in this activity.

I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate and that it will govern my actions and responsibilities at said activity.

In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

1. I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: [List of entities and persons], and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers.

2. INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.

**Event Details:**
- Event: Furry Friends and Cayennes Adoption Event
- Location: Porsche of Nashville (1580 Mallory Lane, Brentwood, TN)
- Date: September 9, 2023
- Organizer: SPCA OF TENNESSEE


I acknowledge that SPCA OF TENNESSEE and their directors, officers, volunteers, representatives, and agents are NOT responsible for errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.

I acknowledge that Porsche of Nashville and their directors, officers, volunteers, representatives, and agents are NOT responsible for errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.

I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people, including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants but are also present for volunteers.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.

I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns.

The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

Releasee’s Name: Celina Batlle TN SPCA

INDEMNOR's Name: *
Are you under 18 years old? *
Parent or guardian must acknowledge for their minor.
If under 18 years old, parent or guardian's name:
Parent/Guardian do you acknowledge for your minor? *
SPCA of Tennessee/Porsche Staff Witness Name: *
INDEMNOR, by submitting this form, you acknowledge and affirm that the information provided herein is accurate and truthful to the best of your knowledge and belief. You understand that any misrepresentation or omission may result in consequences, including potential legal actions and indemnification as outlined in the agreement. Your submission of this form indicates your irrevocable agreement to the terms and conditions set forth in this document. If you do not agree, do not submit this form. *
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