The named above covenants and agrees to release from liability and hold harmless the County of Randolph, the Sheriff of Randolph County, and their respective representatives, employees, agents, volunteers and officials from any loss, damage or harm arising out of their acts, omissions or conduct of whatever nature as it pertains to participation by said Sheriff, his representatives, employees, agents, volunteers and officials in the Citizens Well-Check Program.
This the ___________ day of _________________. 20_____