Sample Release And Hold Harmless Agreement printable pdf download

SAMPLE RELEASE AND HOLD HARMLESS AGREEMENT

(….HOST LETTER HEAD ADDRESS….)

RELEASE AND HOLD HARMLESS AGREEMENT

In consideration for being allowed to use the facilities and property of (….name of host

activity….) for the (….name/title of the NSCC event….), I hereby release and hold

harmless (….name of host activity….), the United States(…service component…), and

the United States Government and any of its employees from any liabilities and claims

arising from my participation. I agree that I will never prosecute or in any way aid in the

prosecuting of any demand, claim or suit against the United States Government, the

Department of the (…host service component….), and any officer, agency, or any

employee acting officially or otherwise, for any loss, damage or injury to my person or

property that may occur from their negligence as a result of me taking part in the military

exercise. I accept full responsibility for the cost of treatment for any injury. I also

understand and agree that I may be held liable for any damage or loss to the United States

Government that is caused buy my own negligence, gross negligence, willful misconduct

or fraud. I also understand and agree that I may be held liable for any damage or loss to

any third party that is caused by my own negligence, gross negligence, willful

misconduct or fraud. I understand that any event of this nature involves a level of risk.

I understand that the entire event is run, staffed and supervised by U.S. Naval Sea Cadet

Corps personnel. Active duty service members of the United States (…host service

component…..) will not participate in the event.

(You may have to omit or tailor this second paragraph depending upon the level of

participation of host/other service component active duty or reserve personnel)

I further understand that USNSCC is fully insured and that any claims for any injuries

must be made against USNSCC Cadet personal/family insurance and/or US Naval Sea

Cadet Insurance.

Name of participant: _____________________________________

Name of Parent/Guardian (print): ____________________________________________

(First)

(MI)

(Last)

Signature of

Parent/Guardian: ________________________________________ Date: ____________

Sample Release And Hold Harmless Agreement