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Fillable Printable Waiver, Release And Hold Harmless Agreement

Fillable Printable Waiver, Release And Hold Harmless Agreement

Waiver, Release And Hold Harmless Agreement

Waiver, Release And Hold Harmless Agreement

Waiver, Release And Hold Harmless Agreement
In consideration of permission granted by Purdue University allowing me to participate
in the [INSERT ACTIVITY NAME](th e "Activity"), which will occur on [INSERT
ACTIVITY DATES], which is sponsored by [INSERTSPONSOR NAME], I (together with
my parent or guardian, if I am under the age of eighteen (18) or under a legal disability)
represent, covenant and agree, on behalf of myself and my heirs, assigns, and any other person
claiming by, under or through me, as follows:
1. I acknowledge that participating in the Activity involves certain risks (some of
which I may not fully appreciate) and that injuries, death, property damage or other harm could
occur to me or others. I accept and voluntarily incur all risks of any injuries, damages, or harm
which arise during or result from my participation in the Activity, includingany associated
travel, regardless of whether or not caused in whole or in part by the negligence or other fault
of Purdue University, The Trustees of Purdue University, and/or its or their departments,
trustees, affiliates, employees, officers, agents or insurers ("Released Parties").
2. I waive all claims against any of the Released Parties for any injuries, damages,
losses or claims, whether known and unknown, which arise during or result from my
participation in the Activity, regardless of whether or not caused in whole or part by the
negligence or other fault of any of the Released Parties. I release and forever discharge the
Released Partiesfrom all such claims.
3. I agree to indemnify and hold the Released Parties harmless from all losses,
liabilities, damages, costs or expenses (including but not limited to reasonable attorneys' fees
and other litigation costs and expenses) incurred by any of the Released Parties as a result of
any claims or suits that I (or anyone claiming by, under or through me) may bring against any
of the Released Parties to recover any losses, liabilities, costs, damages, or expenses which
arise during or result from my participation in the Activity, regardless of whether or not caused
in whole or part by the negligence or other fault of any of the Released Parties.
4. I have carefully read and reviewed this Waiver, Release And Hold Harmless
Agreement. I understand it fully and I execute it voluntarily.
EXECUTED this __________ day of __________________, 20______.
Participant Signature ParticipantPrinted Name
____________________________________ ______________________________
Parent/Guardian Signature Parent / Guard ian Nam e
(required if pa r tic ipant is under the age o f 18or disabled)
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