RELEASE OF LIABILITY AGREEMENT
(OFF-SITE WALKING EVENT)
I, , am at least 18 years of age or older and desire, on a voluntary basis and on my personal time, to participate in a walking event requiring multiple self-directed walking activities over the course of a month for the benefit of Community Hospice of Northeast Florida Foundation for Caring, Inc. d/b/a Community Hospice & Palliative Care Foundation (“FOUNDATION”), to be held in any number of locations, including but not limited to parks, rustic types of environments, or outdoor paths and sidewalks.
My signature on this RELEASE OF LIABILITY AGREEMENT (“RELEASE”) confirms that I have read this RELEASE in its entirety and that I understand, acknowledge, and agree to each and all of the terms of this RELEASE, as follows:
1. I am voluntarily participating in any outdoor walking event and I understand that participation may be physically demanding and can be a potentially hazardous activity, which could cause injury or death. I agree to not participate unless I am medically able, and I certify that I am in good health and medically able to participate. I understand and voluntarily assume all risks associated with participating in exercise activities done outdoors and with any supervised and unsupervised uses of the premises where any walking event may occur, including but not limited to: falls, contact with others, the effects of the weather, including high heat and/or humidity, traffic on the route and the conditions of the route (such as animals, crime and accidents), all such risks being known and appreciated by me. I voluntarily assume these risks and understand that assumption of these risks by me may result in physical injury, disability, death, property damage, or other loss to me or any minors for whom I am a parent or legal guardian.
2. If my child(ren) will be participating in any walking event, the name(s) of my child(ren) participating is/are: [attach a separate page to continue listing names if needed]. I represent and warrant that I am the parent or legal guardian of the child(ren) listed in this paragraph and, as such, consent to my child’s(ren’s) participation in this event and I agree that the terms of this RELEASE apply equally to my child(ren) and me and any claims I or my child(ren) may have in connection with participation. I also waive any derivative claims that relate to or arise out of my or my child’s(ren’s) participation.
3. I, for myself and for my child(ren), my/their heirs, assigns, and legal representatives and anyone entitled to act on my or my child’s(ren’s) behalf, expressly waive, release and hold harmless FOUNDATION and FOUNDATION’S agents, employees, directors, parent entity, subsidiaries, affiliates, insurers, and volunteers and other representatives, agents, and successors of each of the foregoing, from any present and future claim, demand, injury, damages, or liabilities of any kind and for any and all causes of action for personal injury, disability, death or property damage, regardless of cause, arising out of my or my child’s(ren’s) participation and occurring on any occasion during which I am traveling to and from, or participating in, any walking event, and during any supervised and unsupervised uses by me of the exercise premises, regardless of whether the negligence was passive or active and regardless of whether the negligence was caused by FOUNDATION or others.
4. I, for myself and my child(ren), my/their heirs, assigns, and legal representatives, further release and hold harmless FOUNDATION and FOUNDATION’S agents, employees, directors, insurers and volunteers from any claim whatsoever on account of medical treatment, first aid, or any other type of assistance rendered to me in an emergency while I am participating in any walking event or activity.
5. Participating in any walking event or activities is neither required nor encouraged by FOUNDATION. Participation in any walking event on my own time is at my own risk and will not be covered by any insurance of FOUNDATION. I understand that any insurance against the risk of harm to me, resulting from my, or my child(ren), participating in walking events must be provided by me and at my own expense.
I have read this RELEASE OF LIABILITY in its entirety and I understand, acknowledge, and agree to each and all of the terms of this RELEASE OF LIABILITY.
Print Name Signature Date