Today's Date: June 5, 2023 CONSENT AND RELEASE AND HOLD HARMLESS AGREEMENT I, or the parent/legal guardian of named minor child(ren) user(s)/participant(s) do hereby consent to, understand, acknowledge and agree to assume all risks and hazards incidental to my or my minor child’s use of the City of Fernandina Beach facilities, parks and beaches and participation in programs offered by the City of Fernandina Beach. Furthermore, I do expressly understand and agree that if I or my minor child has a medical condition, I am under no obligation to disclose this condition to City personnel, and I hereby expressly assume all risks and hazards incidental to my or my minor child’s use of the City of Fernandina Beach facilities, parks and beaches and participation in programs offered by the City of Fernandina Beach. I do further promise and hereby further agree to waive, release, absolve, and covenant not to sue the City of Fernandina Beach, its employees, contractors, subcontractors, suppliers, materialmen, officers, volunteers, representatives, attorneys and agents, for any and all claims, including claims for equitable or injunctive relief, damages, loss or injury of any kind resulting from or in any way arising directly or indirectly out of my or my minor child’s use of the City of Fernandina Beach facilities, parks and beaches and participation in programs offered by the City of Fernandina Beach. THIS RELEASE INCLUDES A RELEASE FOR ANY AND ALL LOSSES OR INJURIES ARISING OUT OF ANY AND ALL NEGLIGENT OR WRONGFUL ACTS OR OMISSIONS OF CITY OF FERNANDINA BEACH, ITS EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, SUPPLIERS, MATERIALMEN, OFFICERS, VOLUNTEERS, REPRESENTATIVES, ATTORNEYS AND AGENTS. I further promise and agree to indemnify, defend and hold harmless, its employees, contractors, subcontractors, suppliers, materialmen, representatives, officers, volunteers, attorneys and agents from and against all liability, claims and expense, including reasonable attorneys’ fees and costs, in connection with any and all claims whatsoever for personal or bodily injury or death, including loss of use, or property damage of any kind and character in connection with and arising directly or indirectly out of my or my minor child’s use of the City of Fernandina Beach facilities, parks and beaches and participation in programs offered by the City of Fernandina Beach. This indemnity agreement encompasses all damages and claims, including claims for equitable or injunctive relief, arising out of my or my child’s use of the City of Fernandina Beach facilities, parks and beaches and participation in programs offered by the City of Fernandina Beach. THIS RELEASE IS GIVEN AND SIGNED OF MY OWN FREE ACT AND WILL. THE UNDERSIGNED IS COMPETENT, AT LEAST EIGHTEEN (18) YEARS OF AGE OR OLDER AND HAS AUTHORITY TO EXECUTE THIS DOCUMENT. Today's Date: {date}
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