Sample Release And Hold Harmless Agreement Page 2

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RELEASE AND HOLD HARMLESS AGREEMENT
In consideration for being allowed to use the facilities and property of _____________
_________________for the NSCC _________________________________________, I
hereby release and hold harmless ____________________________, the United States
_____________________, 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 __________________, 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 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: ____________

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