Release Of Liability - Alpha Sigma Phi

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RELEASE OF LIABILITY
AL P HA SIGMA PHI F RA TERNI TY
RELEASE OF LIABILITY, WAIVER OF LEGAL RIGHTS, AND ASSUMPTION OF RISK
In consideration of being allowed to participate in (name of activity to be inserted) activities sponsored by (insert
fraternity name) , I hereby understand and agree to this release of liability, waiver of legal rights, and assumption
of risk and to the terms hereof as follows:
■ I acknowledge that (name of activity to be inserted) is an action sport and recreational activity and such activity
is subject to mishap and even injury to participants, including the potential for permanent paralysis and death.
I understand and acknowledge that (name of activity to be inserted) activities have inherent dangers that no
amount of care, caution, instruction, or expertise can eliminate, and I EXPRESSLY AND VOLUNTARILY ASSUME
ALL RISK OF DEATH OR PERSONAL INJURY SUSTAINED WHILE PARTICIPATING IN (name of activity to be
inserted) ACTIVITIES WHETHER OR NOT CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES.
Initial here _______________
■ I take full responsibility for, RELEASE AND HOLD HARMLESS (insert fraternity name), their owners, officers,
elected officials, agents, and employees from any and all liability, claims, demands, or causes of action that I
may hereafter have for injuries or damages arising out of my participation in (name of activity to be inserted)
activities, included, but not limited to, losses CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES.
Initial here _______________
■ I further agree that I WILL NOT SUE OR MAKE CLAIM against the Released parties for damages or other
losses sustained as a result of any injury or death sustained from my participation in (name of activity to be
inserted) activities. I also agree to INDEMNIFY AND HOLD THE RELEASED PARTIES HARMLESS from all claims,
judgments, and costs including attorney’s fees, incurred in connection with any action brought as a result of
participation in (name of activity to be inserted) activities by any of the undersigned.
Initial here _______________
■ I hereby expressly recognize that this Release of Liability, Waiver of Legal Rights, and Assumption of Risk is a
contract pursuant to which I have released any and all claims against the Released Parties resulting from any
injury, or death, sustained from participation in (name of activity to be inserted) activities including any claims
for negligence of the Released Parties.
Initial here _______________
■ I further represent that I am at least 18 years of age, I waive and release any and all legal rights that may
accrue to me as the result of any injury I may suffer while engaging (name of activity to be inserted) activities.
Initial here _______________
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address: 710 Adams Street, Carmel, Indiana 46032
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phone: 317.843.1911
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email:
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