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Activity Release and Indemnity Agreement

 

***JOB SITE LEADERS WILL BE PROVIDED WITH INDEMNITY AGREEMENT FORMS FOR VOLUNTEERS AT A JOB SITE LEADER MEETING.  THIS IS FOR REVIEW ONLY***

 

Activity Release and Indemnity Agreement

 

Participant Name (Print):                   

Organization:                                                                                                          

Activity:                                              Bobcat Build

(Please describe specifically the Activity)                              

Activity Dates:                                    April 7, 2018

 

 

This is a release of liability and assumption of risk agreement. Read it carefully and sign below. Completion of this form is necessary in order to participate in this Activity. This document cannot be altered or modified by any verbal or written statements.                                                                                                                       

Initial

_______    Releasees:        The Board of Regents, The Texas State University System, Texas State University, and all regents, employees, agents, and officers for these entities.

Initial

______   Release:        In consideration for facilitating my participation in the Activity described above (hereafter Activity), I release, discharge, and agree not to sue Releasees for any claims, demands, actions, and causes of action  of any nature whatsoever including a claim of negligence, arising out of any loss or damage to my property and any injury, including death, that I may sustain whether or not caused by the negligence of the Releasees, while participating in the Activity, supervised or unsupervised, or while in transportation to and from the Activity.

Initial

_______    Risks:               To the best of my knowledge, I am in good health and have no physical limitations that would preclude or impede my participation in this Activity.  I am aware of the risks and hazards connected with the Activity, and I elect to participate voluntarily and engage in this Activity knowing that the Activity may be hazardous to my property and me.  I voluntarily and expressly agree and promise that I assume full responsibility for property loss or damage, and for personal injury, including death, that I may sustain as a result of being engaged in this Activity, whether or not based on the negligence or other wrongful conduct of Releasees.

Initial

______   Indemnity:    I also agree to indemnify and hold harmless the Releasees from any and all loss, liability, damage, or costs of any nature whatsoever, including court costs and attorney’s fees, that they may incur due to my participation in this Activity whether caused by the negligence of Releasees or otherwise.  For example, I specifically agree to indemnify and hold harmless the Releasees from losses they may incur as a result of my injuring another person or damaging another person’s property while participating in the Activity.

Initial

_______    Intent:               I intend that this Activity Release and Indemnity Agreement bind not only me, but also the members of my family and my spouse (if any), if I am alive, and my heirs, assigns, and personal representatives, if I am not alive.  I intend this as a release, discharge, and promise not to sue to Releasees. I further agree that this Activity Release and Indemnity Agreement should be construed in accordance with the laws of the State of Texas.

Initial

_______    Free Act:           I acknowledge that I have read and understand this Activity Release and Indemnity Agreement.  I understand it and sign it voluntarily as my own free act

 

 

                                         I certify that I am of lawful age (18 years or older) and legally competent to sign this agreement

 

                                                                                                                                                   

                         Signature of Participant                                                               Date