Fillable Printable Hold Harmless Agreement

Hold Harmless Agreement

MONMOUTH MILITARY ACADEMY

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:____________