General Liability Release Form

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GENERAL   L IABILITY   R ELEASE   F ORM  
 
 
I,                                                               ( Person   o r   E ntity   G ranting   a   R elease)   O n   t his                                                                         d ay  
of                                                                 ,   2 0                     ,   i ntending   t o   b e   l egally   b ound   h ereby,   t he   u ndersigned  
agrees   a nd   d oes   h ereby   r elease   f rom   l iability   a nd   t o   i ndemnify   a nd   h old   h armless      
                                                              ( Person   o r   E ntity   b eing   R eleased)   a nd   a ny   e mployees   o r   a gents  
representing   o r   r elated   i n   r egards   t o:  
                                                                                                                                                                                                                                                                                                                                    .    
 
This   r elease   i s   f or   a ny   a nd   a ll   l iability   f or   p ersonal   i njuries   ( including   d eath),  
property   l osses   o r   d amage   o ccasioned   b y,   o r   i n   c onnection   w ith   t he   p erson   o r   e ntity  
being   r eleased.  
 
The   u ndersigned   f urther   a grees   t o   a bide   b y   a ll   t he   r ules   a nd   r egulations  
promulgated   b y   t he   p erson   o r   e ntity   b eing   r eleased   a nd/or   i ts   a ffiliate   g roups   a nd  
vendors.  
 
 
 
 
                                                              D ate   S igned  
 
 
                                                              S ignature   o f   P erson   o r   E ntity   B eing   R eleased  
 
                                                              P rint   N ame  
 
 
                                                              S ignature   o f   P erson   o r   E ntity   G ranting   t he   R elease  
 
                                                              P rint   N ame  
 

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