Liability Release, Hold Harmless, Indemnification and Waiver of a
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Liability Release, Hold Harmless, Indemnification employees, volunteers, students, agents, and representatives
and Waiver of a Passenger in an Automobile (hereafter “Released Parties”) from any and all claims
Operated by a Day Student Off Campus which may arise from any cause whatsoever, including but
not limited to any negligent act or omission by the Released
Parties. The parents and student further release and
The parties to this Release are _____________________
discharge the Released Parties from liability for any
(both parents or legal guardians and student)
accident, illness, injury, loss or damage to personal
________________________________________________
property, or any other consequences arising or resulting
________________________________________________
directly or indirectly from departing campus and /or as a
___________________________and the Board of Trustees
passenger in an automobile operated by a day student. The
of Deerfield Academy (hereafter “Deerfield Academy”).
parents and student acknowledge and agree that the
Released Parties assume no responsibility for any liability,
The parents and the student understand that Deerfield has
damage, or injury that may be caused by students or day
no control or supervision or authority of a day student after
student or any third party’s negligent or intentional acts or
departing campus. The parents and student give full
omissions committed prior to, during, or after participation
permission and assume all liability in connection with the
departing campus, or for any liability, damage or injury
student being a passenger in the day student automobile.
caused by the intentional or negligent acts or omissions of
any other participant in the Activity, or caused by any other
The parents and student have chosen to give permission to
person.
____________________________ to ride in an automobile
operated by a day student (hereafter “Activity”).
Severability. It is understood and agreed that, if any
provision of this release or the application thereof is held
Assumption of Risk. The parents and student expressly
invalid, the invalidity shall not affect other provisions or
understand and agree that riding in a day students’
applications of this release which can be given effect
automobile and leaving the supervision of Deerfield
without the invalid provisions or applications. To this end,
Academy presents risks both serious and minor personal
the provisions of this release are declared severable.
injury, including but not limited to death. The parents and
student are responsible for researching, evaluating and
Governing Law and Venue. This release shall be
accepting all the risks that the student may face.
construed in accordance with, and governed by, the laws of
the Commonwealth of Massachusetts. The venue for any
The parents and student further recognize, understand and
action arising out of this Agreement shall be the Franklin
agree that Deerfield Academy assumes no responsibility for
County, Commonwealth of Massachusetts.
any liability, damage or injury that may be caused by any
individuals negligence or willful acts committed prior to,
Construction and Scope of Agreement. The language of
during or after leaving campus with a day student, or for
all parts of this release shall in all cases be construed as a
any liability, damage or injury caused by the intentional or
whole, according to its fair meaning, and not strictly for or
negligent acts or omissions of any day student, third party
against any party. This release is the only, sole, entire and
or Deerfield Academy, its students, agents or employees or
complete agreement of the parties relating in any way to the
caused by any other person.
subject matter hereof. No statements, promises, or
representations have been made by any party to any other,
Indemnification and Hold Harmless. The parents and
or relied upon, and no consideration has been offered or
student specifically understand that they jointly and
promised, other than as may be expressly provided herein.
severally are responsible, agree to indemnify, defend and
This release supersedes any earlier written or oral
hold harmless Deerfield Academy, its officers, agents,
understandings or agreements between the parties.
volunteers, students and employees from any action, claim,
or demand that the student, his or her parents, heirs, or legal
The signatory below acknowledges that she/he has read this
representatives may have caused or have or may have for
release and that she/he understands its meaning and effect
any and all personal injuries the any person may suffer or
and has the authority to bind themselves and the student.
sustain, regardless of cause or fault as a result of the
voluntary decision to leave campus as a passenger in with a
Student’s signature: ______________________________
day student or related activities, on or off campus including
reasonable attorneys’ fees and/or any other associated
Print name:____________________________________
costs, caused by any act or omission of the any person or
entity resulting from anything associated with any off
Parent’s signature:_________________________________
campus activity including but not limited being a passenger
in an automobile operated by a day student.
Print name:____________________________________
Release of Claims. In consideration of being allowed to be
Parents signature:_________________________________
off campus and/or a passenger in a motor vehicle operated
by a day student , the parents and student, their heirs,
Print name:____________________________________
executors, administrators, employers, agents,
representatives, insurers, and attorneys, hereby release and
Date:______________________,20
discharge Deerfield Academy, its officers, trustees, faculty,
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