INDEMNIFICATION, ASSUMPTION OF RISK, WAIVER OF LIABILITY and RELEASE
I UNDERSTAND THAT THERE ARE INHERENT DANGERS, HAZARDS, AND RISKS OF INJURY OR DAMAGE INVOLVED IN USING THE TOWNSHIP’S PREMISES, FACILITIES, SERVICES, AND DURING TOWNSHIP-OWNED OR SPONSORED ACTIVITIES, EVENTS AND/OR PROGRAMS. I UNDERSTAND THAT SPECIFIC RISKS VARY FROM ONE ACTIVITY OR PROGRAM TO ANOTHER AND RANGE FROM MINOR INJURIES TO MAJOR INJURIES, SUCH AS CATASTROPHIC INJURIES INCLUDING DEATH. IN CONSIDERATION OF MY PARTICIPATION IN THE PROGRAMS/ACTIVITIES OR EVENTS OFFERED BY OR AT THE TOWNSHIP, I UNDERSTAND AND VOLUNTARILY ACCEPT THESE RISKS, WHICH MAY BE CAUSED IN WHOLE OR IN PART BY THE TOWNSHIP’S NEGLIGENCE OR BY OTHER PARTICIPANTS, GUESTS, OR THIRD PARTIES. I AGREE THAT THE TOWNSHIP, ITS OFFICERS, EMPLOYEES OR SUCCESSORS, WILL NOT BE LIABLE FOR ANY INJURY, INCLUDING, WITHOUT LIMITATION, PERSONAL, BODILY, OR MENTAL INJURY, ECONOMIC LOSS OR ANY DAMAGE TO ME, MY GUEST(S), MINOR CHILDREN, NEXT OF KIN, PERSONAL REPRESENTATIVES, HEIRS OR ASSIGNS RESULTING FROM ANY NEGLIGENCE (INCLUDING GROSS NEGLIGENCE) OF THE TOWNSHIP, ANYONE ACTING ON THE TOWNSHIP’S BEHALF OR ANYONE ELSE USING AND/OR ATTENDING AND/OR PARTICIPATING IN THE PROGRAM/EVENT/ACTIVITY AND/OR SERVICES, WHETHER OR NOT IT IS RELATED TO THE TOWNSHIP PROGRAM/ACTIVITY/EVENT. I ALSO AGREE TO INDEMNIFY THE TOWNSHIP AND HOLD THE TOWNSHIP FREE AND HARMLESS FROM ALL CLAIMS FOR PERSONAL INJURIES, INCLUDING DEATH, AND ALL PROPERTY DAMAGE, INCLUDING DAMAGES ALLEGED TO HAVE BEEN CAUSED BY MY, THE TOWNSHIP’S OR A THIRD PARTY’S NEGLIGENCE OR GROSS NEGLIGENCE, REGARDLESS OF WHO FILES A CLAIM. I UNDERSTAND THAT I AM INDEMNIFYING THE TOWNSHIP FROM ANY AND ALL CLAIMS ARISING FROM MYSELF OR THIRD PARTIES, TO INCLUDE ALL REASONABLE FEES (INCLUDING ATTORNEYS’ FEES), COSTS AND EXPENSES THE TOWNSHIP INCURS TO DEFEND ITSELF FROM SUCH NEGLIGENCE CLAIM(S).
I hereby consent to photography and/or audio/video recording of myself, my children, wards or guests for Township advertising, publicity, or other business purposes. I further consent to the reproduction and/or authorization by the Township to reproduce such photographs and/or recordings for any or all markets.
I verify that I/and my minor participating child(ren) are in good physical health and are able to participate in and/or complete the following programs(s) or event.
I further verify that I/my minor child meets the minimum age, height and weight requirements for this activity, program and/event.
Signature (If under 18 years of age, signature of parent or guardian)