Liability Waiver List

Liability Waiver List and Service Agreement

Service Provider:

Service Provider Address:

Client:

Client Address:

Recitals

WHEREAS, Service Provider conducts and organizes specified activities, events, training, and related services that may involve physical exertion, travel, equipment use, or other inherent risks; and

WHEREAS, Client and listed Participants wish to participate in the activities provided by Service Provider and acknowledge the need to allocate risk, assume responsibility, and document waivers and emergency contact information; and

WHEREAS, the parties desire to set forth the scope of services, payment terms, and a consolidated liability waiver list governing Participants identified below, and to memorialize mutual covenants related to confidentiality, indemnification, and governing law.

Scope of Work

Liability Waiver List and Participant Information

Instructions: For each participant listed below, Client affirms that the participant has read and understands the waiver and risk acknowledgements set forth in this Agreement. Client certifies that emergency contact information is current and that participants meet any minimum requirements set by Service Provider.

Please review and acknowledge each activity that will be applicable to listed participants. Checking the box acknowledges that the named participant(s) will participate in the activity and accept the risks described.

Participant 1

Participant 2

Participant 3 (optional)

Waiver, Release, and Indemnification

In consideration of the services and entry to events provided by Service Provider, Client, on behalf of itself and the Participants listed above, hereby acknowledges and agrees to the following:

1. Assumption of Risk: Client and Participants knowingly and voluntarily assume all risks, known and unknown, associated with participation in the described activities, including but not limited to personal injury, property damage, and death.

2. Release and Waiver: To the fullest extent permitted by law, Client and Participants release, waive, discharge, and covenant not to sue Service Provider, its officers, employees, contractors, agents, and affiliates for any liability, claim, loss, or damage arising out of participation in the activities, whether caused by the negligence of Service Provider or otherwise.

3. Indemnification: Client agrees to defend, indemnify, and hold harmless Service Provider from and against any claims, liabilities, damages, costs, and expenses (including reasonable attorneys' fees) arising out of or related to Participant acts or omissions, breach of this Agreement, or violation of law.

By signing below, Client certifies that it has authority to execute this Agreement on behalf of the named Participants, that the information provided above is accurate, and that Client has provided Participant(s) with a copy of this liability waiver list.

Payment Terms

Term and Termination

This Agreement commences on Start Date: and continues until End Date: unless earlier terminated as provided below.

Either party may terminate this Agreement for convenience upon providing written notice at least days prior to the intended termination date. Termination for cause may be effected immediately upon material breach that remains uncured after ten (10) days' written notice.

Confidentiality

Each party agrees to maintain in confidence any non-public business information disclosed in connection with this Agreement that is designated as confidential or that reasonably should be understood to be confidential given the nature of the information. Confidential information does not include information that is or becomes publicly known through no breach of this Agreement by the receiving party, or that is independently developed without use of the disclosing party's confidential information.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of laws principles.

Entire Agreement

This Agreement, including the liability waiver list and Participant roster appended herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior and contemporaneous agreements, representations, and understandings, whether written or oral. No modification of this Agreement shall be effective unless in writing signed by both parties.

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