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Simply Ghost Network - Events
Liability Waver and Release
Form
1. In consideration for
participating in
SIMPLYGHOST NETWORK
sponsored
event and other valuable consideration, I hereby RELEASE,
WAIVE, DISCHARGE AND COVENANT NOT TO sue or hold Liable
Simply Ghost Network their officers, servants, agents, and
employees (hereinafter referred to as RELEASEES) from any
and all liability, claims, demands, actions and causes of
action whatsoever arising out of or related to any loss,
damage, or injury, including death, that may be sustained by
me, or to any property belonging to me, WHETHER CAUSED BY
THE NEGLIGENCE OF THE RELEASEES, or otherwise, while
participating in such activity, or while in, on or upon the
premises where the activity is being conducted or in
transportation to and from said premises.
2. To the best of my knowledge, I can
fully participate in this activity. I am fully aware of
risks and hazards connected with the activity, including but
not limited to the risks as noted herein, and I hereby elect
to voluntarily participate in said activity, and to enter
the above-named premises and engage in such activity knowing
that the activity may be hazardous to me and my property. I
VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF
LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH,
that may be sustained by me, or any loss or damage to
property owned by me, as a result of being engaged in such
an activity, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES
or otherwise.
3. I further hereby AGREE TO INDEMNIFY AND HOLD
HARMLESS THE RELEASEES from any loss, liability, damage or
costs, including court costs and attorney’s fees, that may
incur due to my participation in said activity, WHETHER
CAUSED BY NEGLIGENCE OF RELEASEES or otherwise.
4. It is my express intent that this Release and
Hold Harmless Agreement shall bind the members of my family
and spouse (if any), if I am alive, and my heirs, assigns
and personal representative, if I am not alive, shall be
deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO
SUE the above named RELEASEES. I hereby further agree that
this Waiver of Liability and Hold Harmless Agreement shall
be construed in accordance with the laws of the State of
Nebraska.
5. I UNDERSTAND THAT SIMPLYGHOST NETWORK
WILLNOT BE RESPONSIBLE FOR ANY MEDICAL COSTS ASSOCIATED WITH
AN INJURY I MAY SUSTAIN. IN SIGNING THIS RELEASE, I
ACKNOWLEDGE AND REPRESENT THAT, I have read the foregoing
Waiver of Liability and Hold Harmless Agreement, understand
it and sign it voluntarily as my own free act and deed; no
oral representations, statements or inducements, apart from
the foregoing written agreement, have been made;
I am at least
eighteen (18) years of age and fully competent; and I
execute this Release for full, adequate and complete
consideration fully intending to be bound by same.
Participant___________________________________________________________Date_____________
Printed
Name__________________________________________________________________________
Witness signature
_____________________________________________________Date____________
Witness printed name
__________________________________________________________________
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