|
The undersigned hereby releases,
waives, discharges and covenants not to sue North Dakota State University,
its officers, agents, employees, and __________________ _____________________________________________
(insert organization
name) all of which hereinafter known as "NDSU" from all liability to
the undersigned.
In consideration of being permitted to participate in: _________________________________________________________________
_________________________________________________________________
_________________________________________________________________ ________________________________________________(describe
event), the undersigned in full recognition and appreciation of the
dangers and hazards inherent in the above activity, does hereby agree
to assume all the risks and responsibilities surrounding my participation
therein, and further, do for myself, my heirs, and personal representatives,
hold harmless, release and forever discharge NDSU from and against any
and all liability, damages, claims, demands, actions, or causes of actions,
on account of damage to personal property or personal injury or death
which may result from my participation therein whether caused by the
negligence of NDSU or otherwise.
The undersigned hereby assumes full responsibility for, and risk of
bodily injury, death or property damage due to the negligence of the
releasees or otherwise while in, about or upon the premises of NDSU
or while participating in the above described event.
IN WITNESS WHEREOF, I have caused this release to be executed this _____
day of ___________________, 20___.
_________________________________
Signature
_________________________________
Printed Name
_________________________________
Co-signature of Parent or Guardian
if individual is under 18 years of age
|