A waiver for participants in an activity with inherent risk — assumption of risk, release of claims, and emergency contact information.
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汎用的な無料テンプレートであり、法的助言ではありません。プレースホルダーに入力し、利用前に弁護士によるレビューをご検討ください。
This Liability Waiver & Release ("Waiver") is signed by [Participant Name] ("Participant") in connection with participation in [Description of Activity] organized by [Company/Organizer Name] ("Organizer") on [Date(s)] at [Location].
Participant understands that [Description of Activity] carries inherent risks, including [Examples of Risk, e.g. physical injury], and voluntarily assumes all such risks by participating.
Participant releases Organizer, its employees, and agents from any claims arising from participation in the Activity, except for claims arising from Organizer’s gross negligence or willful misconduct, to the extent such a release is permitted by [State / Jurisdiction] law.
In the event of injury, Participant authorizes Organizer to arrange for emergency medical treatment, at Participant’s expense unless otherwise agreed.
Emergency Contact Name: [Name] Phone: [Phone Number] Relationship: [Relationship].
[If Participant is a minor: This Waiver must also be signed by a parent or legal guardian, who agrees to its terms on the minor’s behalf.]
Participant has read this Waiver, understands it, and signs it voluntarily.
Participant Signature: _______________________ Date: _______________
Parent/Guardian Signature (if applicable): _______________________ Date: _______________