cwfa - Liability Release Form

Central Western Fireman’s Association (CWFA)

RELEASE FORM

Release executed on this ___ and ___ day of June 20__, by(team name)_____________ whose address is ______________________City of_______________, County of_______________, State of Ohio; herein referred to as Releaser, to Central Western Fireman’s Association, their officers, trustees, past presidents and members, whose Association address is P.O. Box 101 Covington, Ohio 45318 herein referred to as Releasee.

I, Releasor, being of lawful age, inconsideration of being permitted to participate in the rental, operation, demonstration or recreational use of CWFA equipment, social events or competition activity, and use of water ball equipment including, but not limited to cables, chains, pulleys and balls owned or operated by Releasee, do for myself & team______________ and of applicable, my spouse or other parties and children, my heirs, executors, administrators and assigns, hereby release and forever discharge the Central Western Fireman’s Association, their officers, trustees, past presidents and members successors and assigns, of and from any and every claim, demand action, or right of action, of whatever kind or nature, either in law or in equity arising from or by reason of any bodily injury or accident that may occur as a result of my participation in the aforementioned activities or in any activities in connection with the use of certain water ball equipment, including but not limited to, cables, chains, pulleys, and balls whether by negligence or not.

I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT THE PARTICIPATIONJ IN OR THE RENTAL, OPERATION, DEMONSTRATION OR RECREATIONAL USE OF CERTAIN WATERBALL EQUIPMENT, INCLUDING BUT NOT LIMITED TO, CABLES, CHAINS, PULLEYS, AND BALLS IS A VOLUNTARY PARTICIPATION IN THIS ACTIVITY, I DO SO WITH THE KNOWLEDGE OF THE DANGER INVOLVED AND THE RISK OF SERIOUS PERSONAL INJURIES AND/OR PROPERTY DAMAGE, KNOWING THE RISKS, I NEVERTHELESS HEREBY AGREE TO ASSUME THE RISKS, AND TO RELEASE, AND HOLD HARMLESS THE PERSONS AND ENTITIES MENTIONED ABOVE WHO, THROUGH NEGLIGENCE OR CARELESSNESS OR OTHERWISE MIGHT BE LIABLE TO ME FOR MY HEIRS, PERSONAL REPRESENTATIVES, OR ASSIGNS FOR DAMAGES. I ATTEST THAT ANY EQUIPMENT I MAY USE IN THE AFOREMENTIONED ACTIVITIES IS IN GOOD MECHANICAL CONDITION AND SUITABLE FOR USE. I AGREE TO ACCEPT AND ABIDE BY BTHE RULES AND REGULATIONS BY RELEASEE AND TO OBEY THE DIRECTIONS, IF ANY PROVIDED, IN THE PARTICIPATION OF ACTIVITIES, RENTAL, OPERATION, DEMONSTRATION, OR RECREATIONAL USE OF ANY AND ALL RELEASEE EQUIPMENT AND CERTAIN WATERBALL EQUIPMENT, INCLUDING BUT NOT LIMITED TO CABLES, CHAINS, PULLEYS, AND BALLS OWNED AND OPERATED BY RELEASEE.

Releasor agrees to indemnify the release and each of them from any loss, liability, damage or cost they may incur due to the presence of releasor in or upon property owned or leased by Releasee caused by negligence of the Releasee or otherwise.

Releasor hereby assumes full responsibility for the risk of bodily injury, death or property damage due to the negligence of release or otherwise while in or upon property owned or leased by Releasee.

Releasor expressly agrees that this release, waiver and indemnity agreement is intended to be as broad and inclusive as permitted by laws of the State of Ohio and that any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Additionally, nothing in this agreement shall be construed to render inapplicable any provision of the Ohio Revised Code that specifically incorporates and/or codifies governmental immunity.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTQAND ITS’ CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND CONTRACT BETWEEN MY SELF, AND THE ADDITIONAL PARTY OR PARTIES FOR WHOM I AM ENTERING THIS AGREEMENT AND THE CENTRAL WESTERN FIREMAN’S ASSOCIATION, THEIR OFFICERS, TRUSTEEES, PAST PRESIDENTS, AND MEMBERS, AND I HAVE SIGNED IT OF MY OWN FREE WILL.

DATED: __________________ Team Name Represented___________________________

MEMBER SIGNATURE____________________________________________________________

CENTRAL WESTERN FIREMAN’S ASSOCIATION

BY RELEASEE WITNESS SIGNATURE__________________________________________________