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HomeMy WebLinkAbout9610F4 Waiver-Release of Liability-Assumption of RiskSCHOOL FACILITIES 9610F4 Page 1 of 2 WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK To be completed and signed by every individual using any District No. 93 Facility for a non - school related activity if the organization using the facility does not produce a certificate of liability insurance for the District. Disclaimer: DISTRICT #93 IS NOT RESPONSIBLE FOR ANY INJURY, INCLUDING DEATH, OR LOSS OF PROPERTY TO ANY PERSON SUFFERED WHILE ON THE PREMISES OR PARTICIPATING IN THE USE OF ANY OF ITS FACILITIES FOR ANY REASON INCLUDING BUT NOT LIMITED TO THE UTILIZATION OF ANY EQUIPMENT OR THE PLAYING, PRACTICING OR SPECTATING OF ANY ACTIVITY OCCURRING IN OR ABOUT ANY DISTRICT PREMISES. In consideration of the group participating in and the use of District No.93 facilities, I hereby release and covenant not to sue District No. 93, its Board members, superintendents, directors, officers, employees, representatives, agents and lessees from any and all present and future claims resulting from ordinary negligence and inherent risk of use of the facilities and equipment of District No. 93, including but not limited to any loss, injury, damage, or liability sustained while on or about any premises of District No. 93. I am fully aware and understand that District No.93 does not have on or about the premises, or employ, or contract with any medical services, provisions for ordinary or emergency medical service, including but not limited to emergency cardiovascular assistance. Furthermore, I am aware that District No. 93 does not provide instruction or supervision of the facilities or equipment while I am using the same without an expressed arrangement to do so in writing. I agree that immediately prior to participating in any activity occurring in or about District No. 93 facilities, I will inspect the facilities and equipment to be used and if any defect is apparent, I will not use the facility or equipment and I will notify the management of District No. 93 of the defect. I further agree that if I am not knowledgeable in the proper use of any District No. 93 facilities or equipment, I will obtain proper instruction for the correct use of such facility or equipment from a qualified individual before I will use the facility or equipment or I will insure that a qualified District No. 93 employee is on site while using the facility or equipment. I further agree to indemnify and hold harmless District No. 93, its Board members, superintendents, officers, employees, representatives, agents, and lessees for any and all claims arising from my involvement in activities incidental thereto wherever, whenever, and however the claims may arise including but not limited to travel to and from District No. 93 or related activity site and participation at remote sites. I assume all of the foregoing risk and accept personal responsibility for any damages following any loss of property, injury, permanent disability or death resulting there from. Bonneville Joint School District No. 93 SCHOOL FACILITIES 9610F4 Page 2 of 2 SIGNATURE PAGE I have read and fully understand the above waiver and release of liability and assumption of risk. I fully understand that I have given up substantial rights by signing this waiver of release of liability and assumption of risk and sign it voluntarily. Individuals under age 18 are also required to have a parent or legal guardian sign this form. Name Parent/Guardian Date Bonneville Joint School District No. 93