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General Liability Waiver

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  2. Please list all of the participants names (both first and last), with each name separated by a comma.

  4. WARNING, ASUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNIFICATION AGREEMENT.

    In consideration for the City of Woodland (the “City”) and any employees, officers, or agents thereof (collectively “the Released Parties”) permitting me and/or my child (collectively “me,” “I,” or “my”) to participate in a program or activity led or facilitated by the City and/or to use City facilities or equipment, I hereby knowingly and voluntarily agree to execute this Release.

     

    I. RELEASE OF LIABILITY, WAIVER OF CLAIMS. I agree to release and discharge the Released Parties from liability for any injury, death, illness, damage, claim, or liability, whether known or unknown, apparent or unanticipated, to me or to any third party, related to or arising from: my use of any City facilities or equipment; my participation in or observation of any programs or activities led or facilitated by the City; my interaction with any employee, officer, or agent of the City; and my placement in the care, custody, or control of the Released Parties.

     

    II. ACKNOWLEDGEMENT AND ASSUMPTION OF RISK. I acknowledge that there are significant risks, both apparent and unanticipated, inherent in my participation in any City program or activity and in my use of any City facilities or equipment. I agree to assume any and all such risks. 

     

    III. INDEMNIFICATION, COVENANT NOT TO SUE. I agree to indemnify, hold harmless, and defend the Released Parties. I agree not to sue the Released Parties.

     

    IV. MISCELLANEOUS. I further agree to the following provisions: 

     

    Preparedness. I confirm that I am healthy, fit, and competent to participate in this City program or activity or use this City facility or equipment, that I have read and understand the rules and policies related to such program, activity, facility, or equipment, and that all of my questions about the same have been answered. 

    Emergencies. I authorize the Released Parties to provide and/or consent to emergency medical or surgical examination and treatment in the event of any injury or illness occurring to me while participating in this City program or activity or while using this City facility or equipment. 

    PLEASE READ THIS DOCUMENT IN FULL BEFORE SIGNING

     

    My signature below indicates that I have read this Release in its entirety, that I understand it completely and that it affects my legal rights, and that I, along with my heirs, assigns, and personal representatives, agree to be bound by its terms. By signing this Release, I certify that I am at least 18 years of age and that, if the participant is under 18 years of age, I am the parent or legal guardian of said participant and I agree to the terms of this Release on his or her behalf. 

  11. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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