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Fillable Printable Hold Harmless Agreement

Fillable Printable Hold Harmless Agreement

Hold Harmless Agreement

Hold Harmless Agreement

MONMOUTH MILITARYACADEMY
701 Monmouth Avenue North
Monmouth, OR 97361
RELEASE AND HOLD HARMLESS AGREEMENT
In consideration for being allowed to use the facilities and property of Monmouth
Military Academy for the Civil Air Patrol ongoing activities.I hereby release and hold
harmless the Civil Air Patrol, Monmouth Military Academy, Oregon National Guard and
the United States Government and any of its employees from any liabilities and claims
arising from my participation, as further defined in this agreement, by me, the below-
named participant.
I agree that I will not prosecute any demand, claim or suit against the Civil Air Patrol,
Monmouth Military Academy, Oregon National Guard or the United States Government,
or any its employees acting officially, for any loss, damage of injury to me or my
property that may occur as the result of me taking part in Monmouth Military Academy
exercises based on my own negligence, gross negligence, willful misconduct, or fraud. I
accept full responsibility for the cost of my treatment for any injury caused by my own
negligence, gross negligence, willful misconduct, or fraud.
I also understand and agree that I may be held liable for any damage or loss to the Civil
Air Patrol, Monmouth Military Academy, Oregon National Guard or the United States
government or that is caused by my own negligence, gross negligence, willful
misconduct or fraud.
I also understand and agree that I may be held liable to any damage or loss to any third
party that is caused by my own negligence, gross negligence, will misconduct or fraud. I
understand that any activity of this nature involves a level of risk.
I understand that this activity will have a Civil Air Patrol senior member monitoring the
activities with authority to stop my participation in the activity.
Participant Name (print): ______________________________CAP ID #_____________
Participant Signature: _____________________________________ Date:____________
Parent/Guardian Name (print): ______________________________________________
(First)(MI)(Last)
Signature of
Parent/Guardian:________________________________________Date:____________
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