Consent and Release of Liability
I know that participation is a privilege. I know of the risks involved in participation and understand that injury may occur and choose to accept such risks.
I voluntarily accept any and all responsibility for my own safety and welfare while participating in programs at LIFE Mower County, with a full understanding of the risks involved. I release and hold harmless LIFE Mower County and its employees from any and all responsibility for any injury or claim resulting from such participation and agree to take no legal action against LIFE Mower County because of any accident or mishap involving my participation. I further authorize the use or disclosure of my individually identifiable health information should treatment for illness or injury become necessary.
I understand that this authorization is voluntary and that I may revoke it at any time by submitting the revocation in writing to LIFE Mower County.