This form is a model Guests Liability and Indemnification Agreement for use of an Owner's property or a Coordinator of an event. Its purpose is to limit the liability of the Owner or Event Coordinator to the Guest or Participant, including those Guests or Participants who are minors under the age of 18. In the case of a minor, there is the necessity of an acknowledgment before a notary public by parent or guardian to protect against someone other than the parent or guardian signing on behalf of minor.
GUESTS LIABILITY AND INDEMNIFICATION AGREEMENT , individually and, if applicable, as parent and/or natural guardian of , a minor (hereinafter referred to individually or jointly as "Guest") has been given permission to come upon the _____________ located at __________________ (hereinafter referred to as the "Premises") owned and maintained by ______________ (hereinafter referred to as the "Owner"). Guest acknowledges and understands that no warranty, either express or implied is made by the Owner as to the condition of the Premises. Guest acknowledges that ___________ [type of activity] and other activities on real property such as the Premises does have known and unknown hazards and risks that can result in injury or property damage to the person doing these activities. The many possibilities and sources of injury and/or damage are acknowledged by Guest, and he/she agrees to come on the _________ with full knowledge that such hazards and risks do exist. As part of the consideration for being permitted by the Owner to enjoy any and all activities on the Premises, Guest hereby indemnifies, protects and holds harmless the Owner, its individual partners, activity supervisors, agents, servants, employees, insurers, successors, heirs and assigns, including but not limited to _____________________________, and any of its parent corporations, brother/sister corporations, divisions, subsidiaries, insurers, entities, affiliates, agents, employees, officers, directors, shareholders, successors and assigns, (hereinafter jointly referred to as the "Releasees") from any and all claims, demands, rights of action or causes of action, personal injury, including wrongful death and/or property damage sustained by Guest which is caused, in whole or in part, by any activity or condition on the Premises, even if the injury, death or damage is caused, in whole or in part, by the negligence, unlawful or illegal acts of Releasees. Guest hereby agrees that Releasees will not be responsible for exercising reasonable care to avoid injuring Guest while he/she is on the Premises. Guest understands that neither he/she nor his/her heirs or personal representatives will be able to file any claim, demand, right of action or cause of action or claim of any kind against Releasees for any injury, death or property damage that Guest sustains while on the Premises, or as a result of any activity whatsoever that occurred on the Premises. As used in this Agreement, the term Guest shall include any minors in the Guest's care or custody while on the Premises. Guest has read and accepts this document and understands that he/she is signing it freely and voluntarily. Date: (Print Name) Signature
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