Liability Release Form
I, on behalf of myself, my employees, and/or partners, hereby release, forever discharge, and agree to hold harmless the following:
Old Fashioned Day Committee and the City of Benton and its representatives, Benton Public Utilities and its representatives, Old Fashioned Day staff and volunteers, and the directors thereof from any and all liability, claims, or demands for personal injury, sickness, death, or property damage and expenses of any kind that may be incurred by myself, my employees, or partners while participating in the above-described activity.
Furthermore, I, on behalf of myself, my employees, and/or partners, assume all risks associated with personal injury, sickness, death, property damage, or expenses resulting from participation in the recreational and/or work activities involved.
I also agree to hold harmless and indemnify the above-mentioned organizations and individuals from any liability arising from negligent, willful, or intentional acts committed by myself, my employees, or partners.