"Sample Release and Hold Harmless Agreement Template"

Sample Release and Hold Harmless Agreement Template is a 2-page legal document that was released by the U.S. Naval Sea Cadet Corps and used nation-wide.

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SAMPLE RELEASE AND HOLD HARMLESS AGREEMENT
(….HOST LETTER HEAD ADDRESS….)
RELEASE AND HOLD HARMLESS AGREEMENT
In consideration for being allowed to use the facilities and property of (….name of host
activity….) for the (….name/title of the NSCC event….), I hereby release and hold
harmless (….name of host activity….), the United States(…service component…), and
the United States Government and any of its employees from any liabilities and claims
arising from my participation. I agree that I will never prosecute or in any way aid in the
prosecuting of any demand, claim or suit against the United States Government, the
Department of the (…host service component….), and any officer, agency, or any
employee acting officially or otherwise, for any loss, damage or injury to my person or
property that may occur from their negligence as a result of me taking part in the military
exercise. I accept full responsibility for the cost of treatment for any injury. I also
understand and agree that I may be held liable for any damage or loss to the United States
Government that is caused buy my own negligence, gross negligence, willful misconduct
or fraud. I also understand and agree that I may be held liable for any damage or loss to
any third party that is caused by my own negligence, gross negligence, willful
misconduct or fraud. I understand that any event of this nature involves a level of risk.
I understand that the entire event is run, staffed and supervised by U.S. Naval Sea Cadet
Corps personnel. Active duty service members of the United States (…host service
component…..) will not participate in the event.
(You may have to omit or tailor this second paragraph depending upon the level of
participation of host/other service component active duty or reserve personnel)
I further understand that USNSCC is fully insured and that any claims for any injuries
must be made against USNSCC Cadet personal/family insurance and/or US Naval Sea
Cadet Insurance.
Name of participant: _____________________________________
Name of Parent/Guardian (print): ____________________________________________
(First)
(MI)
(Last)
Signature of
Parent/Guardian: ________________________________________ Date: ____________
SAMPLE RELEASE AND HOLD HARMLESS AGREEMENT
(….HOST LETTER HEAD ADDRESS….)
RELEASE AND HOLD HARMLESS AGREEMENT
In consideration for being allowed to use the facilities and property of (….name of host
activity….) for the (….name/title of the NSCC event….), I hereby release and hold
harmless (….name of host activity….), the United States(…service component…), and
the United States Government and any of its employees from any liabilities and claims
arising from my participation. I agree that I will never prosecute or in any way aid in the
prosecuting of any demand, claim or suit against the United States Government, the
Department of the (…host service component….), and any officer, agency, or any
employee acting officially or otherwise, for any loss, damage or injury to my person or
property that may occur from their negligence as a result of me taking part in the military
exercise. I accept full responsibility for the cost of treatment for any injury. I also
understand and agree that I may be held liable for any damage or loss to the United States
Government that is caused buy my own negligence, gross negligence, willful misconduct
or fraud. I also understand and agree that I may be held liable for any damage or loss to
any third party that is caused by my own negligence, gross negligence, willful
misconduct or fraud. I understand that any event of this nature involves a level of risk.
I understand that the entire event is run, staffed and supervised by U.S. Naval Sea Cadet
Corps personnel. Active duty service members of the United States (…host service
component…..) will not participate in the event.
(You may have to omit or tailor this second paragraph depending upon the level of
participation of host/other service component active duty or reserve personnel)
I further understand that USNSCC is fully insured and that any claims for any injuries
must be made against USNSCC Cadet personal/family insurance and/or US Naval Sea
Cadet Insurance.
Name of participant: _____________________________________
Name of Parent/Guardian (print): ____________________________________________
(First)
(MI)
(Last)
Signature of
Parent/Guardian: ________________________________________ Date: ____________
RELEASE AND HOLD HARMLESS AGREEMENT
In consideration for being allowed to use the facilities and property of _____________
_________________for the NSCC _________________________________________, I
hereby release and hold harmless ____________________________, the United States
_____________________, and the United States Government and any of its employees
from any liabilities and claims arising from my participation. I agree that I will never
prosecute or in any way aid in the prosecuting of any demand, claim or suit against the
United States Government, the Department of the __________________, and any officer,
agency, or any employee acting officially or otherwise, for any loss, damage or injury to
my person or property that may occur from their negligence as a result of me taking part
in the military exercise. I accept full responsibility for the cost of treatment for any
injury. I also understand and agree that I may be held liable for any damage or loss to the
United States Government that is caused buy my own negligence, gross negligence,
willful misconduct or fraud. I also understand and agree that I may be held liable for any
damage or loss to any third party that is caused by my own negligence, gross negligence,
willful misconduct or fraud. I understand that any event of this nature involves a level of
risk.
I further understand that USNSCC is fully insured and that any claims for any injuries
must be made against USNSCC Cadet personal/family insurance and/or US Naval Sea
Cadet Insurance.
Name of participant: _____________________________________
Name of Parent/Guardian (print): ____________________________________________
(First)
(MI)
(Last)
Signature of
Parent/Guardian: ________________________________________ Date: ____________
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