Howland Local School District
ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH
THIS EVENT, 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 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:
(A) 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: Howland Local School District and/or their employees,
representatives, and agents.
(B) 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.
I acknowledge that Howland LSD and their agents are NOT responsible for the errors, omissions, acts, or failures to act of
any party or entity conducting a specific activity on their behalf.
I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or
illness during this activity.
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.
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