Free Sample Physical Activity Release of Liability Form

Physical Activity Release of Liability Form
I, ____________________________________________, hereby acknowledge my awareness that my participation of my physical activities in _________________________________ and that such activities may involved the following;

______________________________________________________________________________

I have been informed and understand that my participation in the aforementioned activities may expose me to certain foreseeable and unforeseeable risks of damage and/or bodily injury, including serious bodily injury, where I may need to be hospitalized.

I knowingly, freely and voluntarily assume all risks and engage myself in the participation of the above mentioned activities.

I hereby release ________________ from any and all liability arising out my participation of the above mentioned activities and hereby waive my rights herein to assert any claim(s) for damages, bodily injury or serious bodily injury to the fullest extend allowed by law.

I further agree that I will hold harmless _____________ against any and all claim(s) for damages, bodily injury or serious bodily injury arising out of or in connection of my participation in the above mentioned activities whether caused by negligence or otherwise.

I fully understand the terms set forth in this form, and I hereby execute this Physical Activity Release of Liability Form.

_______________________                          _______________

(Signature)                                                       Date

_______________________                          _______________

(Signature of Parent or Guardian,                    Date

if a minor)