Waiver and Hold Harmless Agreement. By signing below, I agree that I have read, understand and fully agree to the above Active Construction Site Terms of Agreement and the Permission to Use Photographs. I express my understanding and agreement that active construction sites are inherently dangerous and contain many risks, both known and unknown. I agree to voluntarily assume all risks of personal injury, illness, or death or property damage, and FULLY RELEASE Save Xxxxx Island, the United States Government, Nikon Inc., and their respective affiliates, employees, officers, contractors and agents, FROM ANY AND ALL LIABILITY, for personal injury, illness, death or property damage arising out of, or resulting from my having access and or being present on this ACTIVE CONSTRUCTION SITE, whether or not negligence on the part of Save Xxxxx Island, the United States Government, Nikon Inc. or their respective affiliates, employees, officers, contractors and agents contributed. I accept FULL RESPONSIBILITY for any and all damage, injury, illness or death that may occur. I also agree to DEFEND, INDEMNIFY AND HOLD HARMLESS, Save Xxxxx Island, the United States of America, Nikon Inc., and their respective affiliates, employees, officers, contractors and agents, from any and all claims, suits, loss, liability, damages, costs and expenses, including attorneys' fees for all personal injury, illness, death or property damage against them or third parties arising or allegedly arising out of or resulting from conduct on this site and/or the photo session/workshop, whether or not Save Xxxxx Island, the United States Government, Nikon Inc., and their respective affiliates, employees, officers, contractors or agents contributed thereto. I agree that this Release, Waiver and Hold Harmless Agreement extends to any actions, claims, demands, damages, liabilities, costs and expenses brought by any person on my behalf or on their own behalf based on their relationship with me, including but not limited to my heirs, administrators, executors, representatives, family members, successors and assigns. I agree that delivery of this executed Release, Waiver and Hold Harmless Agreement by facsimile or pdf data file or other scanned executed counterpart sent by email shall be equally as effective as delivery of a manually executed counterpart and that a copy of my original signature may be used for any and all purposes and I shall have no right to challenge the use or authenticity of this document. I represent, warrant and agre...
Waiver and Hold Harmless Agreement. In consideration of the Participant being allowed by Kids Cubed, Inc. dba Waymark to participate in and/or attend any and all activities associated with Journey Weekends which are programs of Waymark, I hereby agree to waive any and all claims, release, discharge, hold harmless, indemnify, defend, and covenant not to sue, for myself, my heirs, executors, administrators, and assigns Waymark, its officers, directors, employees, agents, volunteers, and members from and against any and all claims or demands due to or arising from bodily injury, personal injury, illness or death, any diseases, epidemics, or pandemics where known or unknown, as well as any and all property damages sustained of any nature which might be incurred by me and/or the Participant while participating in said activities. By signing below, the Participant (or parent/guardian if Participant is a minor) acknowledges and accepts the risks of physical injury associated with participation in the activity described above. The Participant (or parent/guardian) accepts personal financial responsibility for any medical expenses, bodily injury, personal injury, and property damages sustained during on in any way connected with or related to the activities. Signature: Print Name: Relationship to Participant if not Participant: Date: (IF PARTICIPANT IS YOUNGER THAN 18 YEARS OLD, THE LEGAL GUARDIAN MUST SIGN, AND BY SIGNING, AFFIRMATIVELY REPRESENTS THAT HE/SHE IS THE LAWFUL GUARDIAN OF PARTICIPANT WITH THE LEGAL RIGHT TO ENTER INTO THIS AGREEMENT ON BEHALF OF PARTICIPANT)
Waiver and Hold Harmless Agreement. In consideration of my use of the community gardens, I agree to hold Tualatin Hills Park & Recreation District (THPRD) harmless from any claim for damages or injuries arising from my use of the community garden. I agree and bind to indemnify THPRD against legal liability in respect to bodily injury, personal injury, death and property damage arising from or occurring out of mine or others activities in connection with the use of the community garden. I do not indemnify THPRD from its own gross negligence with the property. I have read this agreement carefully and know and understand its terms. I further agree to abide by the established community garden guidelines, and by all Tualatin Hills Park & Recreation District policies and regulations. Failure to abide by these guidelines may be basis for denying or terminating participation in this activity. Signature: Date: FOR OFFICE USE ONLY – DO NOT WRITE BELOW THIS LINE
Waiver and Hold Harmless Agreement. In consideration of my use of the community gardens, I agree to hold City of Sherwood harmless from any claim for damages or injuries arising from my use of the community garden. I acknowledge responsibility for liability arising out of my use of the community gardens, and agree that I shall defend, indemnify, and hold harmless the City of Sherwood and its officers, agents, employees, and volunteers against any and all liability settlements, loss, damage, costs, and expenses arising from or in connection with any action, suit, demand, or claim resulting or allegedly resulting from, attributable in whole or in part to, or in any way connected with my acts, omissions, activities, or services in the course of using the community gardens. I acknowledge that any photograph or videotape taken of me participating in this activity may be used for outreach, education, or documentation purposes by the City of Sherwood. I have read this agreement carefully and know and understand its terms. I further agree to abide by the established community garden guidelines, and by all City of Sherwood’s policies and regulations. Failure to abide by these guidelines may be a basis for denying or terminating participation in this activity. Signature: Date: FOR OFFICE USE ONLY – DO NOT WRITE BELOW THIS LINE
Waiver and Hold Harmless Agreement. In consideration of the Participant being allowed by Kids Cubed, Inc. to participate in and/or attend any and all activities associated with Xtreme Life (a program of Kids Cubed, Inc.), I hereby agree to waive any and all claims, release, discharge, hold harmless, indemnify, defend, and covenant not to sue, for myself, my heirs, executors, administrators, and assigns Kids Cubed, Inc., its officers, directors, employees, agents, volunteers, and members from and against any and all claims or demands due to or arising from bodily injury, personal injury, illness or death, as well as any and all property damages sustained of any nature which might be incurred by me and/or the Participant while participating in said activities. By signing below, the Participant (or parent/guardian if Participant is a minor) acknowledges and accepts the risks of physical injury associated with participation in the activity described above. The Participant (or parent/guardian) accepts personal financial responsibility for any medical expenses, bodily injury, personal injury, and property damages sustained during on in any way connected with or related to the activities. DFCS Caseworker Signature: Print Name: Relationship to Participant if not Participant: Date:
Waiver and Hold Harmless Agreement. All dependents, DOD Civilians, and non-military patrons must read and sign before they participate in training at this facility. NAME: _________________________________________ (Please print legibly) ORGANIZATION: ________________________________ PHONE: ____________________ (If you are a military dependent, provide your sponsor’s rank, organization, and phone number) I, _____________________________________, desire to participate in Open Mats training at the United States Army Combatives Course facility at Fort Xxxxx, GA. In consideration of the benefit of participating in this event, I agree to release and hold harmless the United States from any damages to property or injuries which I may suffer incident to my participation in this activity. Specifically, I agree to release and hold harmless the United States, its officers and its agents, from any and all liability and claims for damages to property or injuries to persons or property that may arise or be incident to my participation in Open Mats. Further, I agree to release and hold harmless the United States, its officers and its agents, against any claims, demands, actions, debts, liabilities, judgements, costs, or attorney fees arising out of, claimed on account of, or in any manner predicated upon my use of Fort Xxxxx property, facilities, and/or equipment including, but not limited to, any loss or damage to property, any injury or death of any person, in any manner, caused or contributed to by the United States, its Officers, or its agents. BY SIGNING, I DECLARE THAT I HAVE READ AND VOLUNTARILY ENTER INTO THE TERMS OF THIS WAIVER AND HOLD HARMLESS AGREEMENT. _________________________________________________ SIGNATURE DATE VERIFIED BY GOVERNMENT REPRESENTATIVE: ______________________________________________________ RANK NAME POSITION ______________________________________________________
Waiver and Hold Harmless Agreement. I have freely and voluntarily chosen to participate in activities organized and/or sponsored by Box 5 Events, Chick-fil-A -fil-A, in connection with the Chick-fil-A Bowl. I fully realize and acknowledge that injuries are a possibility of the activities I will participate in or perform as a CBI volunteer, and I recognize that, on rare occasions, these injuries can be so severe as to result in total disability, paralysis or even death. I also understand that, because of the potential danger in such activities, Box 5 Events and CBI is unwilling to allow me to participate in and/or perform any such activities unless I sign this Waiver and Hold Harmless Agreement, waiving any claims I might otherwise have as a result of such activities and holding Box 5 Events or CBI and such other persons and entities harmless as indicated below. Therefore, in consideration of me being allowed to participate in and/or perform any such activities and on behalf of myself, my heirs, next of kin, personal representatives, successors and assigns:
Waiver and Hold Harmless Agreement. In consideration of participation in a class or activity (whether in-person or online) offered by the City of Sunnyvale, Department of Library and Recreation Services, I, the undersigned for myself and/or as the parent/guardian of the Minor named above, agree to indemnify and hold the City of Sunnyvale harmless and hereby waive, release and discharge any and all claims for damage, for death, personal injury, bodily injury (including illness and communicable disease) or property damage which I and/or the Minor may have or which hereinafter may accrue to me and/or the Minor against the City of Sunnyvale, its City Council, employees, agents, and volunteers from and against any liability arising out of or connected in any way with my and/or the Minor’s participation in this class or activity, even though that liability may arise out of active or passive negligence or carelessness on the part of the person or entities mentioned above. It is further understood and agreed that this waiver, release and assumption of risks has been freely entered into and is to be binding on my/ our heirs and assigns. Additionally, I fully understand that that my participation in the above-referenced activity exposes me to the risk of personal injury, death, communicable diseases, illnesses, viruses, and/or property damage. Knowing the risks, nevertheless, I hereby acknowledge that I and/or the above named Minor am voluntarily participating in this activity agree to assume those risks on behalf of me and/or the above named Minor and to release and to hold harmless all of the persons or entities mentioned above who (through negligence or carelessness) might otherwise be liable to me and/or the above named Minor (or my/our heirs or assignees) for damages. VIRTUAL (ONLINE) CLASS RELEASE: I hereby warrant and agree, that the conditions of my environment are safe, free from obstructions, and are suitable for participation in the above-referenced activity. I further understand and agree that any material downloaded, viewed or otherwise obtained through my participation in said activity is done at my own risk and the City is not responsible for any loss, alteration, corruption or other damage to my personal property, including computers, networks and other property used as part of my participation. I further understand that virtual classes may be recorded and agree to any such recording.
Waiver and Hold Harmless Agreement. I have read the SCG Policies and Rules and agree to abide by them. I hereby knowingly and voluntarily waive any claim(s) I may have against the land owner, their employees, or agents, for any injury, damage, loss, or claim arising from activities pursuant to this agreement sustained by me, my guests, family members, or produce recipients. I agree to hold the landowner free from loss, cost, and expense, including attorney fees and litigation, expenses as to any claim arising from my activities pursuant to this agreement. I understand and agree that the land owner makes no warranty or guarantee of the fitness of the plot for garden purposes. I have read and agree to abide by the SCG Policies and Rules. Signature Date Questions? Email xxxxxxxxxxxxxxxxxxxxxxx@xxxxx.xxx or Call Xxxx Xxxxxxx, SCG President:000-000-0000 OFFICE USE ONLY: W1st E14 St Lks Xxxx’s of Plots Amt Paid: $ xx xxxx
Waiver and Hold Harmless Agreement. I hereby knowingly and voluntarily waive any claim(s) I may have against the landowner, their employees or agents, for any injury, damage, loss or claim arising from activities pursuant to this agreement sustained by me, my guests, family mem‐ bers or produce recipients. I agree to hold the landowner free from loss, cost and expense, including attorney fees and litigation, expenses as to any claim arising from my activities pursuant to this agreement. I understand and agree that the land owner makes no warranty or guarantee of the fitness of the plot for garden purposes. Print Name Signature Date Return application and payment to Cerro Gordo Extension Office, 2023 S. Federal For more information: Call Xxxx@ 641‐423‐0844 or email: xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxx.xxx Xxxxx City Community Gardens are a partnership between
