Fillable Printable Accident Waiver and Release of Liability Sample Form

Accident Waiver and Release of Liability Sample Form

Accident Waiver and Release of Liability form

Name of the Activity or Event_____________________________________________________

Date(s) of the Activity or Event____________________________________________________

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND/OR VOLUNTEERING IN

THIS ACTIVITY OR EVENT, and waive, release and discharge the school facility, the New Mexico

Public School Insurance Authority and their directors, board members, officers, employees,

volunteers, agents, representatives or assigns and the activity or event sponsors, from any and all

liability, including but not limited to, liability arising from the negligence or fault of the entities or

persons release, for my death, disability, personal injury, property damage, property theft, or

actions of any kind which may occur to me as a result of participation in the above named activity

at the school facility. I agree to indemnify, hold harmless, and promise not to sue the entities or

persons mentioned above from any and all liabilities or claims made as a result of participation in

this activity or event, whether caused by liabilities or claims made as a result of participation in this

activity or event, whether caused by the negligence of those released or otherwise.

This accident waiver and release of liability shall be construed broadly to provide a release and

waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS

CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I

SIGN IT ON MY OWN FREE WILL.

___________________________________________________________________

Print Participant’s Name AgeParticipant’s Signature

______________________________________________________________________________

Parent Signature (If participant is under 18 years old, parent must sign also)

PARENT/GUARDIAN WAIVER FOR MINORS (Under 18 years old)

The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting

in such capacity, has consented to his/her child or ward’sparticipation in the activity or event, and

has agreed individually and on behalf of the child or ward, to the terms of the accident waiver and

release of liability stet forth above. The undersigned parent or guardian further agrees to save and

hold harmless and indemnify each and all of the parties referred to above from all liability, loss,

cost, claim, or damage whatsoever which may be imposed upon those parties because of any

defect in or lack of such capacity to so act and release those parties on behalf of the minor and the

parents or legal guardian.

___________________________________________________________________

Print Participant’s Name AgeDate

______________________________________________________________________________

Signature of Parent or Guardian