Dta Hold Harmless Agreement Template (Adult) printable pdf download

Part 1: DTA Hold Harmless Agreement (Adult)*

I recognize the risks involved in any athletic event and hereby waive, release and hold

harmless the Dubuque Tennis Association (DTA) and all of its officers and volunteers

from any liability, claims and rights for damages or injuries growing out of relating to, or

arising from participation in any Dubuque Tennis Association activities. I further hereby

certify that I have full knowledge of the risks involved and am physically fit to participate.

Name of Player:

Signature:

Date:

PART 2: ADULT HOLD HARMLESS/INDEMNITY AGREEMENT (Wahlert)

PARISH: Wahlert

ACTIVITY PARTICIPANT OR FACILITY USER: (your name)

DATES OF ACTIVITY OR USAGE: May. 2015 ‒ September. 2015

TYPE OF ACTIVITY OR USAGE: Tennis

The above named ACTIVITY PARTICIPANT OR FACILITY USER agrees to defend,

protect, indemnify and hold harmless the above named PARISH against and from all

claims arising from the negligence or fault of the above named ACTIVITY

PARTICIPANT OR FACILITY USER or any of their agents, family members, officers,

volunteers, helpers, partners, organizational members or associates which arise out of

the above named ACTIVITY OR USAGE at the above named PARISH.

Additionally, the above named ACTIVITY PARTICIPANT OR FACILITY USER

agrees to protect, defend, hold harmless and fully indemnify the above named PARISH

for any claim or cause of action whatsoever arising out of the above mentioned

ACTIVITY OR USAGE which takes place during the above identified DATE(S) OF

ACTIVITY OR USAGE that is brought against the PARISH by the above named

ACTIVITY PARTICIPANT OR FACILITY USER or their family members whether

such claim arises from the alleged negligence of the PARISH, its employees or agents or

ACTIVITY PARTICIPANT OR FACILITY USER'S neghgence. If any portion of the

agreement is held invalid, it is agreed that the balance thereof, shall continue in full legal

force and effect.

SIGNED BY: _

NAME (Please Print):_

DATE:

Please fill out ALL the blank lines on both parts of this form. Thank you.

ALSO, PLEASE COMPLETE THE OTHER SIDE

OR THE SEPARATE REGISTRATION FORM

Dta Hold Harmless Agreement Template (Adult)