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WAIVER AND RELEASE FROM LIABILITY FOR USE OF WEEKEND HOUSE
I, ________________________ , HEREBY WAIVE AND RELEASE, indemnify, hold harmless and
forever discharge ________________________ from any and all claims, demands, debts, contracts,
expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether known or
unknown, in law or equity, that I ever had or may have, arising from or in any way related to
occupying/living/temporarily residing on the premises of land owned by ________________________ in
the County of , in the State of at the following address
provided that this waiver of liability does not apply to any
acts of gross negligence, or intentional, willful or wanton misconduct.
I understand that the activities associated with vacationing/temporarily residing in the aforementioned
weekend/guest house could involve dangerous risks and could cause serious or grievous injuries, including
bodily injury, damage to personal property and/or death should anything unexpected occur during the
course of my stay. That injuries can also occur because of the condition of the property (both inside and
out) and that the land may pose such dangerous conditions due to snakes, insects, spiders, snow, or mud
and; that there are always risks involved when operating utilities such as a stove, oven, washing machine
etc. or other natural and man-made hazards. On behalf of myself, my heirs, assigns and next of kin, I waive
all claims for damages, injuries and death sustained to me or my property that I may have against the
aforementioned released party to such activity whether caused by the ordinary negligence of the released
party or otherwise, with the exception of acts of gross negligence, or intentional, willful or wanton
misconduct as indicated above.
By this Waiver, I assume any risk, and take full responsibility and waive any claims of personal injury,
death or damage to personal property and real property owned by ________________________ including
any activities involving the upkeep and maintenance of the property and any activities conducted
throughout the course of my stay.
This WAIVER AND RELEASE contains the entire agreement between the parties, and supercedes any
prior written or oral agreements between them concerning the subject matter of this WAIVER AND
RELEASE. The provisions of this WAIVER AND RELEASE may be waived, altered, amended or
repealed, in whole or in part, only upon the prior written consent of all parties.
I have read, understand and fully agree to the terms of this WAIVER AND RELEASE. I understand and
confirm that by signing this WAIVER AND RELEASE I have given up considerable future legal rights. I
have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement,
promise or guarantee being communicated to me. My signature is proof of my intention to execute a
complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law. I am 18
year of age or older and mentally competent to enter into this waiver. This agreement and its terms and
provisions will include any minors who accompany me or who are under my care. I further agree that I
shall assume responsibility for watching and caring for minor’s safety and guarding against all hazards,
natural or man made, whether expressly mentioned in this WAIVER AND RELEASE or otherwise.
____________
Date
________________________
Printed Name
________________________
Signature
Copyright 2004 USLegalforms.com
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