Sample Page

First and last name of participant

Your email

Date signed

Parent or guardian name (if participant is under 18)

The participant is under 18 years of age and I am the parent or legal guardian of the above named minor child. As such, I am authorized to enter into this agreement. I agree that my minor child and I are bound by and subject to the terms of this agreement. I understand that my signature here reflects my agreement to hereby release, waive, discharge, and covenant not to sue Ranson Community Gardens or its employees, volunteers and agents from liability from any and all claims resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in the Community Garden.

WAIVER
In consideration of being permitted to participate in any way in the Ranson Community Garden I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue Ranson Community Gardens or its employees, volunteers and agents from liability from any and all claims resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in the Community Garden.

INDEMNIFICATION AND HOLD HARMLESS
I also agree to INDEMNIFY AND HOLD Ranson Community Gardens and its employees, volunteers and agents HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in the Community Garden and to reimburse them for any such expenses incurred.

SEVERABILITY
The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of Connecticut that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

PHOTO RELEASE
I authorize Ranson Community Gardens to use my or my child’s photo in any manner Ranson Community Gardens desires, for advertising, display, audio-visual, exhibition or editorial use.

ACKNOWLEDGMENT OF UNDERSTANDING
I have read this waiver of liability, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.