[OMITTED FOR PRIVACY]
Acknowledgement of Property Owner and Guest Responsibility,
Express Assumption of Risk, and Release of Liability
I understand that during my participation in outdoor activities being held at the [OMITTED FOR PRIVACY] residence, I may be exposed to a variety of hazards and risks foreseen and unforeseen, which are inherent in all outdoor activities and cannot be eliminated without destroying the unique character of said activities. These inherent risks include, but are not limited to, the dangers of serious personal injury, property damage, and death "injuries and damages" from exposure to the hazards of outdoor activities. The property owners of [OMITTED FOR PRIVACY]., hereinafter referred to as the [OMITTED FOR PRIVACY] family, have not tried to contradict or minimize my understanding of these risks. I know that injuries and damages can occur by natural causes or activities of other persons, animals, acts of god, or third parties, either as a result of negligence or because of other reasons. I understand that risks of such injuries and damages are involved in outdoor activities such as at [OMITTED FOR PRIVACY]and I appreciate that I may have to exercise care for my own person and for others around me in the face of such hazards. I further understand that during the period that I am exposed to outdoor activities there may not be rescue or medical facilities or expertise necessary to deal with the injuries and damages to which I may be exposed.
In consideration for my acceptance as a participant in outdoor activities at [OMITTED FOR PRIVACY], and the services and amenities to be provided by the [OMITTED FOR PRIVACY] family in connection with any outdoor activities at [OMITTED FOR PRIVACY], I confirm my understanding that:
I acknowledge my participation is at the discretion of the [OMITTED FOR PRIVACY].
This Agreement is intended to be as broad and inclusive as is permitted by law. If any provision or any part of any provision of this Agreement is held to be invalid or legally unenforceable for any reason, the remainder of this Agreement shall not be affected thereby and shall remain valid and fully enforceable.
To the fullest extent allowed by law, I agree to WAIVE, DISCHARGE CLAIMS, AND RELEASE FROM LIABILITY the [OMITTED FOR PRIVACY] family from any and all liability on account of, or in any way resulting from injuries and damages, even if caused by negligence of the [OMITTED FOR PRIVACY] family in any way connected with outdoor activities. I further agree to HOLD HARMLESS the [OMITTED FOR PRIVACY] family from any claims, damages, injuries or losses caused by my own negligence while a participant in outdoor activities. I understand and intend that this assumption of risk and release is binding upon my heirs, executors, administrators and assigns, and includes any minors accompanying me in outdoor activities.
I have read this document in its entirety and I freely and voluntarily assume all risks of such injuries and damages and notwithstanding such risks, I agree to participate in outdoor activities.
Name: ___________________________________
Signed: __________________________________ Date______________________