General Waiver of Liability
Hobbs Fire Department
I, ______________________________ (participant), acknowledge that I have voluntarily applied to
participate or give consent in the following activities with the City of Hobbs Fire Department:
(Description of activities, which Participant will engage in)
I AM AWARE THAT THESE ACTIVITIES ARE HAZARDOUS ACTIVITIES AND THAT I COULD BE SERIOUSLY
INJURED. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE
DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, DEATH OR
PROPERTY DAMAGE, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN.
As consideration for being permitted to participate in these activities, I further state and reiterate and
agree that neither the City of Hobbs, New Mexico, nor any members of the Hobbs Fire Department, or
their sureties, shall be responsible or liable for any injury, damage, loss or expense, either to me or my
property, which may be incurred during the activity or while accompanying any member or employee of
said department during the performance of their official duties, or resulting from any negligent act or
omission on the part of any member of the Hobbs Fire Department.
I hereby represent that I have carefully read and understand the contents of this document and sign the
same of my own free will, it be being my intention to hold and save the City of Hobbs harmless from any
and all liability whatever which might be incurred in consideration of it granting me the privilege of
gaining experience and knowledge in my capacity.
Signature___________________________________ (Participant)
Signature ___________________________________ (Parent or Guardian)
DATED at Hobbs, New Mexico, this_____________, 20____
SUBCRIBED, SWORN TO AND ACKNOWLEDGE before me this date: __________________________
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Notary Public State of New Mexico
My commission expires: ______________________________
IF YOU ARE UNDER 18 YEARS OF AGE, YOU AND YOUR PARENT OR LEGAL GUARDIAN MUST SIGN THIS
FORM WHERE INDICATED