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Simply Ghost Network - Events
Liability Waver and
Release Form
1. In consideration for
participating in
SIMPLYGHOST NETWORK
and other valuable consideration,
I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO
sue or hold Liable Simply Ghost Network their
officers, servants, agents, and employees and or venue
owner John Smith (hereinafter referred to as RELEASEES)
from any and all liability, claims, demands, actions and
causes of action whatsoever arising out of or related to
any loss, damage, or injury, including death, that may
be sustained by me, or to any property belonging to me,
WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES, or
otherwise, while participating in such activity, or
while in, on or upon the premises where the activity is
being conducted or in transportation to and from said
premises.
2. To the best of my knowledge, I
can fully participate in this activity. I am fully aware
of risks and hazards connected with the activity,
including but not limited to the risks as noted herein,
and I hereby elect to voluntarily participate in said
activity, and to enter the above-named premises and
engage in such activity knowing that the activity may be
hazardous to me and my property. I VOLUNTARILY ASSUME
FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY
DAMAGE OR PERSONAL INJURY, INCLUDING DEATH, that may be
sustained by me, or any loss or damage to property owned
by me, as a result of being engaged in such an activity,
WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES or
otherwise.
3. I further hereby AGREE TO
INDEMNIFY AND HOLD HARMLESS THE RELEASEES from any loss,
liability, damage or costs, including court costs and
attorney’s fees, that may incur due to my participation
in said activity, WHETHER CAUSED BY NEGLIGENCE OF
RELEASEES or otherwise.
4. It is my express intent that
this Release and Hold Harmless Agreement shall bind the
members of my family and spouse (if any), if I am alive,
and my heirs, assigns and personal representative, if I
am not alive, shall be deemed as a RELEASE, WAIVER,
DISCHARGE AND COVENANT NOT TO SUE the above named
RELEASEES. I hereby further agree that this Waiver of
Liability and Hold Harmless Agreement shall be construed
in accordance with the laws of the State of Nebraska.
5. I UNDERSTAND THAT SIMPLYGHOST
NETWORK NOR JOHN SMITH VENUE OWNER
WILL
NOT BE RESPONSIBLE FOR ANY MEDICAL
COSTS ASSOCIATED WITH AN INJURY I MAY SUSTAIN. IN
SIGNING THIS RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I
have read the foregoing Waiver of Liability and Hold
Harmless Agreement, understand it and sign it
voluntarily as my own free act and deed; no oral
representations, statements or inducements, apart from
the foregoing written agreement, have been made;
I am at least
eighteen (18) years of age and fully competent; and
I execute this Release for full, adequate and complete
consideration fully intending to be bound by same.
Participant___________________________________________________________Date_____________
Printed
Name__________________________________________________________________________
Witness signature
_____________________________________________________Date____________
Witness printed name
__________________________________________________________________
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