Fill and Sign the Release Waiver Indemnity Form

Release, Waiver of Liability and Indemnity Agreement in Favor of Company Furnishing Bartenders to a Party or Other Event Agreement made on the ______________ (date) , between _________________ (Name of Party or Event Host) of __________________________________________ _______________________________ (street address, city, state, zip code) , referred to herein as Host , and _________________________ (Name of Bartending Service) , a limited liability company organized and existing under the laws of the state of __________________, with its principal office located at ________________________ _____________________________________________________ (street address, city, state, zip code) , referred to herein as LLC . For and in consideration of the mutual covenants contained in this agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: 1. Host has retained LLC to provide _____ (number) bartenders to serve the guests of Host at (description of function) __________________________________ _____________________________________________________________________ on __________________ (date) . 2. Host recognizes that it is possible that some or any of his guests may consume more alcohol than is prudent and that injuries to such guest may occur as a result of such conduct of guest, including, but not limited to, driving under the influence of alcohol. In consideration of having LLC provide said bartenders, Host knowingly and expressly waive any claims that Host may have or hereafter acquire against LLC, its bartenders, members and/or employees as a result of such conduct of said guests and any injuries to such guests, including death, that results from such consumption. 3. Host agrees to indemnify LLC, its bartenders, members and/or employees and hold them free and harmless form any liability that results from such conduct of any guest described in Paragraph 2 above, including liability for any injuries to such guest, including death. 4. For purposes of this Agreement, liability shall means all claims, damages, liability, losses, costs and expenses, court costs and reasonable attorneys' fees. 5. This Agreement shall be governed by, construed, and enforced in accordance with the laws of the State of ____________. 6. This Agreement shall constitute the entire agreement between the parties and any prior understanding or representation of any kind preceding the date of this Agreement shall not be binding upon either party except to the extent incorporated in this Agreement. 7. Any modification of this Agreement or additional obligation assumed by either party in connection with this Agreement shall be binding only if placed in writing and signed by each party or an authorized representative of each party. 8. The rights of each party under this Agreement are personal to that party and may not be assigned or transferred to any other person, firm, corporation, or other entity without the prior, express, and written consent of the other party. 9. In this Agreement, any reference to a party includes that party's heirs, executors, administrators, successors and assigns, singular includes plural and masculine includes feminine. WITNESS our signatures as of the day and date first above stated. _________________________ (Name of LLC) ________________________ By:_________________________ (P rinted Name of Host) _________________________ _________________________ (P rinted Name & Office in LLC) (Signature of Host) _________________________ (Signature of Officer) State of _____________________ County of ___________________ Personally appeared before me, the undersigned authority in and for the said County and State, on this _________________ (date) , within my jurisdic tion, the within- named ______________________ (Name of Host) , who acknowledged that he executed the above and foregoing instrument. ________________________________ NOTARY PUBLIC My Commission Expires: ____________________