Fillable Printable Hold Harmless Agreement Free

Hold Harmless Agreement Free

WAIVER AND HOLD HARMLESS

AGREEMENT

I am fully aware of the risks and hazards connected

with

____________________________________. I voluntarily assume full responsibility

for

risks taken by me. I voluntarily assume full responsibility for

any

risk of property

damage, personal injury, including death that may be sustained to me,

to any loss or

damage to any property owned by me, as a result of my decision

I, understand that there is no express or implied warrantee

that

shall apply. I accept any and all costs and or treatments for my self and my family

should

medical treatments of any kind be needed by me or my family as a result of my

(our)

decision.

I, , further hereby agree to indemnify and hold harmless any

associated with ___________________ as it was a decision I have thought through for

myself and will move forth without indemnification.

It is my express intent that this release/agreement hall bing myself, the members of

family and spouse if I am alive, and my heirs, assigns and personal representative if I

deceased, and shall be deemed as an agreement to release, waive, discharge, covenant

not

to sue, and indemnify the so-named people wholly or partly in charge

Name:_

Address:

Date: