WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMINITY AGREEMENT
IN CONSIDERATION OF BEING TREATED OF MY MEDICAL CONDITION :
1. ACKNOWLEDGE, agree and represent that I understand the nature of the Activity and that I am proper
mental condition to participate un such activity. I further agree and warrant that if , at any time I believe the conditions to be unsafe. I will immediately discontinue further participation in the Activity.
2. FULLY UNDERSTAND that (a) This Activity may involves risk and danger. (b) these risk and dangers may be caused by my own action, or inaction, the action and inaction of other participating in the activity, the condition in which the activity takes place. (c) there may be OTHER RISK or SOCIAL ECONOMIC LOSES either not known to me or not readily foreseeable at this time, and FULLY ACCEPT AND ASSUME ALL SUCH RISK AND ALL RESPONSIBILITY FOR LOSSES, COSTS AND DAMAGES I incur as a result of may
participant, in the Activity.
3. HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO SUE the organizations, their administrations, director, agent, officers, members, volunteers, and employees, other participants, owners and lessees of premises on which activity conducted, (each of the forgoing shall be considered one of the RELEASES herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY NEGLIGENCE OF RELEASES OR OTHERWISE, AND I FURTHER AGREE that if , despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND IDEMNITY AGREEMENT I or anyone on my behalf, makes a claim against any of the release, I WILL INDEMNITY, SAVE AND HOLD HARMLESS EACH OF THE RELEASES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may be incurred as the result of such claim.
I ACKNOWLEDGE THAT I AM OVER THE AGE OF 18 YEARS, HAVE READ THIS AGGREMENT AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, HAVE SIGNED IT FREELY AND WITHOUT AT NDUCEMENT B ASSURANCE OF ANY NATURE, AND I INTEND IT TO BE COMPLETE AND UNCONDITIONAL RELEASE AF AMELIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW ANG AGREE THAT OF PORTION OF THE AGREEMENT IS HELF TO BE HOLD INVALID, THE BALANCE NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.