Release and Waiver of Liability

Agreement and Release for Working at a Novelty Store

Agreement made on the day of , 20, between of , referred to herein as , and , d/b/a/ located at , referred to herein as , and said address of being sometimes referred to herein as the premises.

Whereas, enjoys working at from time to time; and

Whereas, receives discounts on his purchases from from time to time; and

Whereas will not allow to work at unless he executes this Agreement and Release;

Now, therefore, in consideration of the matters described above, and of the mutual benefits and obligations set forth in this agreement, the parties agree as follows:

I. Nature of Work

(Describe what does).

II. Payment for Work

will allow a discount of % on goods purchased by at .

III. Duration of Agreement

This agreement will last for one year from the date hereof, but may be terminated by either party for any reason or no reason. Paragraphs IV, V, and VI will survive the termination of this agreement.

IV. Status of

While considers himself an unpaid volunteer for , in order to remove any doubt as to his legal status at , understands and agrees that he is an independent contractor and will not be considered an employee of for any purpose or reason.

V. Release, Waiver and Assumption of Risk

A. , for himself his spouse, legal representatives, heirs and assigns, hereby releases, waives and discharges , its employees, officers, agents, owners and/or assigns and each of them, hereinafter jointly and severally referred to as Releasee, from all liability to , his spouse, legal representatives, heirs and assigns, hereinafter jointly and severally referred to as Releasor, for any and all loss or damage, and any claim or damages resulting therefrom, on account of injury to Releasor’s person or property, even injury resulting in death of the Releasor, whether caused by the negligence of Releasee or otherwise, while the Releasor is on or around the premises of Releasee or resulting from Releasor’s being on around the premises of Releasee for any reason.

B. Releasor agrees to indemnify the Releasee and hold Releasee harmless from any loss, liability, damage or cost Releasee may incur due to Releasor’s work on or about Releasee’s premises whether caused by the negligence of Releasee or otherwise. Releasor hereby assumes full responsibility for the risk of bodily injury, death or property damage due to working on the premises of Releasee or being on said premises for any reason. Releasor expressly agrees that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of , and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

VI. Mandatory Arbitration

Any dispute under this agreement shall be required to be resolved by binding arbitration of the parties hereto. If the parties cannot agree on an arbitrator, each party shall select one arbitrator and both arbitrators shall then select a third. The third arbitrator so selected shall arbitrate said dispute. The arbitration shall be governed by the rules of the American Arbitration Association then in force and effect.

WITNESS our signatures as of the day and date first above stated.

Name