Fillable Printable Hold Harmless Agreement Form

Hold Harmless Agreement Form

HOLD HARMLE SS AGREEME NT

I, _____________________________________, the parent/legal guardian of the minor child

_________________________________, do her eby agree t o assu me full responsibility for my child a nd

do agree to i n de mni f y, s a v e, ho l d ha rml ess , a nd defend the Ca ddo Parish Sheriff, St eve P rat or , and all of

his employees and agents, acting officially or otherwise, from any and all liability, claims, demands,

actions, ju dgments, exp ens es, c osts, int er est, debts, a nd a t t or ne y’s fees a r is i ng ou t of , claimed on accou nt

of, or i n any manner pred ic ate d upo n any in j ury, or loss of life of any per so n or damag e to the p roperty of

any person or persons w hatsoever, includin g my child, or any third part y, which may oc c ur resulti ng f rom

the participation of my child in the Sheriff’s C.S.I. Camp For Kids, titled: Caddo Parish Sheriff’s Office

C.S.I. Camp For Kids, occurring on _________________________________. The pur pose of t his camp

is to teac h children the basics of crime scene investigation.

It is agr eed that participation in this camp is potentially dangerous, and I have b een appris ed of

and understand the liabilities and hazards of participating in this event. I also believe that the benefit to

my c hil d ex c eeds any pote ntial risk. I t is further agreed that the under s igned, our succ essors, estates heir s,

and assignees will refrain from holding the Caddo Parish Sheriff, Steve Prator, and his employees or

ag e nts res pons i bl e for a ny damag e ari sing fro m loss of property, per sonal injury or dea th, loss of ac cess to

property, or ot her consequential damages as a resu lt of par tic i patin g in this p rogram.

___________________________________ ____________________________________

Child’s Name (Please Print) Child’s Signature

___________________________________ ____________________________________

Parent’s/Guardian’s Name (Please Print) Parent’s/Guardian’s Signature

___________________________________

Date

EMERGENCY MEDICAL TREATMENT

In t he event of a n emergency, if the parents/guar dians or the emergency contacts named on the front of

this form cannot be reached, the Caddo Parish Sheriff Office, Steve Prator, or his designee has my

permission to transport my child ___________________________________ to the nearest medical

fac i lity f or treatment.

___________________________________ ___________________________________

Parent’s/Guardian’s Signature Date