Fill and Sign the State Defense Force National Guard Form

Release from Liability by Member of the State Defense Force of the State of ______________________________ (Name of State) from Liability Regarding Training Activities with the _____________________________ (Name of State) National Guard This Agreement made this the _____ day of _______________________, 20_____, by __________________________________ (Releasor) , who resides at ______________________ ______________________________________________________________________________ _________ (street address, city, county, state, zip code) , a member of the State Defense Forces of the State of _________________________________ (Name of State) . Whereas the State Defense Forces of the State of ___________________________ (Name of State) , hereinafter called SDF , is part of the organized militia and military forces of the State of _______________________________ (Name of State) as provided by _________________________________ (Appropriate citation to the State Code) , and is organized pursuant to ___________________________________ (Appropriate citation to the State Code) ; and Whereas, the mission of the SDF includes, but is not limited to the following: a. Shelter operation assistance during times of natural or man-made disaster relief operations; b. Shelter security assistance; c. Civil Defense/Homeland defense; d. Assisting law enforcement officials and the ________________________ (Name of State) Army National Guard ( ARNG ) during civil disturbances, under the supervision of the ARNG; e. Providing physical security of key state facilities when other means are inadequate; f. When requested, assisting rear detachments of the ARNG in securing National Guard facilities when the _______________________________ (Name of State) National Guard is mobilized; g. Any duties assigned by the Governor under the laws of the State of ______________________________ (Name of State) though the Adjutant General of the _________________________________ (Name of State) National Guard; and Whereas, Releasor desires to participate in military and such other training as necessary to accomplish the above mission of the SDF; and Whereas, Releasor desires to train specifically with and be trained by members of the ARNG as well as other members of the SDF; Now, therefore, for and in consideration of being allowed to participate in military and such other training as necessary to accomplish the above mission of the SDF, the undersigned Releasor does hereby release the State of ___________________________________ (Name of State) , the ___________________________________ (Name of State) National Guard, the State Defense Forces of the State of _______________________________ (Name of State) , the __________________________________ (Name of State) Military Department, and their officers, members, agents, officials, and employees from any liability which may or could occur by reason of any personal injury ( even injury resulting in death of the Releasor ), or property damage suffered by me regardless of the cause or alleged cause of such death, personal injury or property damage. The State of ____________________________ (Name of State) , the _______________________________ (Name of State) National Guard, the State Defense Forces of the State of ______________________________ (Name of State) , the _______________________________ (Name of State) Military Department, their officers, members, agents, officials, and employees are hereinafter jointly and severally referred to as Releasees. I understand that I will be voluntarily participating in activities which may expose me to a high level of risk or injury, and I represent that I am aware of the nature of these activities and agree to accept any and all risks associated with the my participation in these activities. I represent that I am in good physical health, and that unless I notify my Battalion Commander in writing that I am unable to participate in an activity due to some physical or mental considerations, I will be allowed to participate in all such training activities. Furthermore, in consideration of being allowed to participate in these activities, I agree to hold Releasees harmless and indemnify them, and each of them, against loss (including reasonable attorneys = fees) from any and all claims of negligence, demands, rights, or causes of actions of any kind or nature that may hereafter at any time be made or brought by me or on my behalf for any known or unknown, foreseen and unforeseen bodily or personal injuries (including death), damages to property and consequences thereof which may be sustained by me as a direct or indirect result of participating in the aforementioned training activities. CAUTION: READ BEFORE SIGNING By signing below, I acknowledge that I understand that I am entitled to have an attorney of my own choosing to review this release prior to signing. I have read the foregoing release in its entirety and understand that I am signing a complete and perpetual release and bar to any and all claims, including but not limited to claims of negligence, resulting from my participation in the training activities described above. Witness my signature as of the ____ day of _____________________________, 20____. ____________________________________ SDF Member _____________________________________ ___________ ________________________ Witness Witness