Hold Harmless Agreement 23-24
HURRICANE VALLEY COMMONWEALTH
HOLD HARMLESS AGREEMENT

I understand that participation in our Hurricane Valley Commonwealth and activities involves a certain degree of risk that could result in injury or death. In consideration of the benefits to be derived, after carefully considering the risk involved, and in view of the fact that the Hurricane Valley Commonwealth is an organization in which membership is voluntary, I have carefully considered the risk involved and have given consent for myself (or my son or daughter) to participate in the activity, and waive all claims I or we may have against the Hurricane Valley Commonwealth, the HVC Board, the activity coordinators, and all volunteers, related parties, The Hurricane Community Center, or other organizations associated with any activity.

I am not under the influence of any chemical substance, including alcohol. Understanding that any physical activity involves a risk of injury, I understand that my participation (or my allowing the participation of my son or daughter) in the activity is entirely voluntary. I release the Hurricane Valley Commonwealth, the HVC Board, the activity coordinators, and all volunteers, The Hurricane Community Center, related parties or other organizations associated with the activity from any and all claims or liability arising out of this participation.

This release does not, however, apply to any harm caused by negligence or the willful misconduct of the HVC Board, or its volunteers and the organizers of this event. In case of emergency involving my child, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the physician selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child.

This Hold Harmless Agreement is effective from July 28, 2023 through Juy 28, 2024.

 (please include all family members that would be coming to any activity associated with the Hurricane Valley Commonwealth):

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