Release waiver of liability assumption of risk and indemnity agreement in favor of a lodge motel or hotel regarding form
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Release of Liability, Assumption of Risk and Indemnity Agreement in favor of a
Lodge, Motel or Hotel regarding Recreational Activities in an Adjacent River
BY SIGNING THIS RELEASE AGREEMENT YOU WILL WAIVE OR GIVE UP CERTAIN
LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION
FOLLOWING AN ACCIDENT. PLEASE READ CAREFULLY !
Release and Agreement executed on the ___ day of __________, 20____ by
_________________________ who resides at _________________________________
(street address, city, county, zip) in favor of _________________________ , located at
__________________________________________________ (street address, city,
county, zip), hereafter referred to as “Lodge.”
I, _________________________, hereby acknowledge that I am a guest of the
Lodge and either will or may use the _________________________ (name) River
(hereinafter called “River”) adjacent to the Lodge for recreational activities.
I am aware that participating in recreational activities in river is a hazardous
activity, and that I am voluntarily participating in this activity with the knowledge of
the dangers involved and I hereby agree to accept, and I do hereby assume, any and
all risks of injury and death .
For and in consideration of being permitted to stay in said Lodge, and other good
and valuable consideration, the receipt and sufficiency of which are hereby acknowledged,
I hereby agree that I, my heirs, legal representatives and assigns will not make a claim
against, sue, or prosecute Lodge for injury or damage resulting from the negligence or
other acts, howsoever caused, by any employee, agent or contractor of Lodge, as result of
my participation recreational activities at or around River. In addition, I hereby release and
discharge Lodge from all actions, claims or demands that I, my heirs, legal representatives
or assigns now have or may hereafter have for injury or damage resulting from my
participation such recreational activities.
I further agree to indemnify, save and hold Lodge harmless from any loss, liability,
attorneys = fees, damage, or costs that it may incur arising out of or related to staying in
said Lodge or participating in recreational activities in or around said River whether
caused by the negligence of the Lodge or otherwise.
I have carefully read this agreement and fully understand its contents. I am
aware that this is a release of liability and a contract between the Lodge and the
undersigned, and I have signed it of my own free will.
Witness my signature this the ____ day of ______________, 20___.
____________________________
____________________________
Name of Child
By:________________________
___________, Parent or Guardian
Waiver and Release by Legal Guardian or Parent
I hereby represent that I am the parent or legal guardian of
__________________________ (name of child) (who is under the age of 18 years and
hereafter referred to as “Child”), who also is staying at Lodge, and I am authorized to
execute this Release. I do further agree and represent that I have read this document and I
voluntarily signed this Waiver and Release for and on behalf of Child.
_____________________________________
Parent or Guardian Date: _________________
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