ACKNOWLEDGMENT OF RISKS,
WAIVER, AND RELEASE OF LIABILITY
I wish to participate in the _______________________ (together with any related activities, the "Event").
I am physically and mentally capable of full participation in the Event
and I am voluntarily participating in the Event
In consideration for being permitted to participate in the Event, I
hereby assume all risks, dangers and uncertainties relating to the Event,
and all responsibility for any losses and/or damages, including any
caused in whole or in part by the negligence, carelessness or other
conduct of the officers, directors, employees, agents, volunteers and
members of the C&O Canal Association or any other person.
- with full understanding and knowledge of the many risks, dangers
and uncertainties inherent in hiking, biking, canoeing, camping and
other outdoor activities, and
- with full understanding and knowledge that such risks, dangers
and uncertainties may be caused or increased by the negligence or carelessness
of the C&O Canal Association or its officers, directors, employees,
agents, volunteers and members, by the negligence or carelessness of
participants in the Event or other third parties, or by accident, weather,
the force of nature or other causes, both foreseeable and unforeseeable,
- with full understanding that it is my own responsibility to
be appropriately clothed and equipped for the event.
I hereby voluntarily agree to release, waive, discharge, hold harmless,
and defend the C&O Canal Association and its officers, directors,
employees, agents, volunteers and members from any and all claims or
actions for damages for wrongful death, personal or bodily injury, loss
of services, disability, illness, property damage or otherwise which
I have or which may hereafter accrue to me, as a result of my participation
in the Event. I specifically understand and agree that I am releasing,
waiving and discharging any claims or actions I may have that may arise
from negligence or carelessness on the part of the persons or entities
being released. I understand and agree that this Acknowledgment, Waiver,
and Release is binding on my heirs, assigns and legal representatives.
This Acknowledgment, Waiver, and Release shall be governed by the laws
of the State of Maryland, and the venue of any dispute that may arise
out of this Acknowledgment, Waiver, and Release shall be within the
State of Maryland.
I HAVE READ THE ABOVE ACKNOWLEDGMENT, WAIVER AND RELEASE FORM, FULLY
UNDERSTANDING ITS TERMS AND CONDITIONS AND THE WAIVER OF RIGHTS CONTAINED
HEREIN. I SIGN IT OF MY OWN FREE WILL.
Signature: _______________________ Date: _______________________
Emergency contact: _______________________ Name:
Phone: _______________________ e-mail:
(If less than 18 years of age)
I am the parent or legal guardian of the above-signed minor. I have
read and hereby consent to the terms of the Waiver on behalf of the
minor, and consent to his/her participation in the Event.
Signature of Parent or Guardian: _______________________ Date: _______________________