Hold Harmless Release Agreement

I know that participation in the above listed activity can be potentially hazardous and I agree that my participation in this activity is entirely voluntary. I know I should not enter this activity unless I am medically able to participate and by signature below attest that I am medically fit to participate.

  1. I fully recognize and appreciate the dangers and hazards inherent in the activity, which I have had a full opportunity to investigate through any questions I wished to ask of the responsible person(s). I agree to assume all the risks and responsibilities arising out of my participation in the activity and any other activities undertaken as an adjunct thereto.
  2. That in consideration of my participation in this activity, I hereby waive, release and forever discharge and agree to indemnify and hold harmless Maryville University, its trustees, officers, employees and agents, of and from any and all action, causes of action, suits, damages, claims and demands whatsoever, which the undersigned, may not have or may acquire arising from or in any way relating to the undersigned’s participation in the aforementioned event/activity.
  3. I have obtained the age of 18 and am legally competent to sign this waiver and release, and I have signed this document as my own free act. I understand that if I am under the age of 18, I must also have my parent or guardian’s signature.
  4. I hereby consent to any publicity, including the use of my name, in connection with my participation in this activity for Maryville University publications.
  5. I have read and understand the terms of this Release and agree to all terms and conditions.


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