STATE OF TEXAS } } RELEASE OF LIABILITY AND

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STATE OF TEXAS } } RELEASE OF LIABILITY AND Powered By Docstoc
					STATE OF TEXAS

} } COUNTY OF ___________ }

RELEASE OF LIABILITY AND ALL CLAIMS

In consideration of participation and/or transportation offered for participation in the internship program in cooperation with the Texas Alcoholic Beverage Commission, I _________________________________ hereby freely agree as follows: I fully assume the risks associated with participation. I hereby fully and forever release from all liability and discharge myself, my heirs, executors, administrators, legal representatives, assignees, and successors (hereinafter known collectively as “Successors”), any and all rights and claims, demands, or damages, present or future, whether the same be known or unknown, anticipated or unanticipated against the Texas Alcoholic Beverage Commission and the State of Texas, and its agents, officials, and employees, through or by which any of the aforementioned parties may be held for any and all damages which may be sustained whether caused by the negligence of the above mentioned parties or by me directly or indirectly in connection with or arising out of participation in the Internship program. I agree, for myself and Successors, that the above representations are contractually binding, and are not mere recitals, and that should I or my successors assert any claim in contravention of this agreement, I or my Successors shall be liable for the expenses (including legal fees) incurred by the other party or parties in defending such claim unless the other party or parties are finally adjudged liable on such claim for willful and wanton negligence. This agreement may not be modified orally. A written waiver of any provision of this agreement shall not be construed as a modification of any other provision, or as a consent to any other provision, or as a consent to any subsequent waiver of modification.
Signed this ________day of _____________________, 20___

_____________________________________________ Releasor STATE OF TEXAS }

COUNTY _________ } This instrument was acknowledged before me on the _____day of_______________________, 20____, by__________________________________.

_____________________________________________ Notary Public, State of Texas Name: _______________________________________ My Commission Expires: ________________________
HR-47