Release of Liability
Posted: Fri Jan 15, 1999 11:48 pm
Mr. Mattson,
I recently started an afterschool karate program at an elementary school. There is some confusion about whether I am covered by the school system's insurance. The program coordinator asked me to send a Release of Liability to the parents (shown below). I found this release on the web and modified it for my circumstances. I've heard that these releases are worthless, yet many companies use them. Your thoughts please.
MFH
RELEASE FROM LIABILITY
IN CONSIDERATION of being permitted to participate in John Doe's karate classes at ANYWHERE, the undersigned hereby agrees to the following:
I agree to indemnify, defend, hold harmless and release John Doe, his elected and appointed officers, agents, employees, and volunteers from any and all lawsuits, damages, claims, judgements, losses, liability or expenses arising out of (1) the death or personal injury or property damage to, myself, my child or my ward, which may be sustained while participating in John Doe's karate class or any activity coordinated by John Doe, or (2) any death or injury which results or increases by any action taken to medically treat me, my child or my ward. All of the terms above shall apply whether or not caused by the alleged negligence, whether active or passive, or any acts or omissions of John Doe, or any of his elected or appointed officers, agents, employees or volunteers.
I also understand that John Doe does not carry insurance to cover participants in the activities in which I, my child or my ward am/is participating. I understand there are risks associated with these activities, and I assume the risk of any injuries that I, my child or my ward may sustain during any of these activities.
I have read, understand and approve this RELEASE FROM LIABILITY. IF the participant is a minor, the undersigned parent or legal guardian warrants and represents that this RELEASE, its significance and the assumption of risk has been explained to and understood by my minor child or ward. I hereby declare, under penalty of perjury, that I am the parent or legal guardian of the named participant.
Signature of Participant (of any age):
Date:
Date: ___________
Signature of Parent/Guardian (if Participant is a Minor):
In the event of sudden illness, accident, or injury which may occur while my child or ward, above identified, is engaged in an activity supervised or sponsored by John Doe, his employees, agents or volunteers, when neither the parents nor guardians can be contacted, I hereby give my consent for emergency medical treatment as shall be necessary under the circumstances by any medical care provider licensed under the laws of the State of ANY-STATE.
Signature of Parent/Guardian (if Participant is a Minor):
_____________________________________ Date: ____________
PARTICIPANTS MUST ALSO SIGN BELOW
I sign this statement below, because:
1.I know that all of the activities in John Doe's Karate Class are hazardous recreational activities;
2.I know there is the risk of injury or death if I participate in any of these activities;
3.I voluntarily participate in the activities of the John Doe Karate Class and I sign my name below so that I may participate - I can
choose not to sign this agreement by choosing not to participate;
4.I agree that if anything happens to me while participating, including injury or death, I release John Doe and any of his employees from liability; and
5.If I am injured while participating, I agree that anyone who provides medical assistance shall not be liable if they cause my death, increase my injury or cause additional injury.
Signature of Participant: ___________________________________________
Date: ________________________
I recently started an afterschool karate program at an elementary school. There is some confusion about whether I am covered by the school system's insurance. The program coordinator asked me to send a Release of Liability to the parents (shown below). I found this release on the web and modified it for my circumstances. I've heard that these releases are worthless, yet many companies use them. Your thoughts please.
MFH
RELEASE FROM LIABILITY
IN CONSIDERATION of being permitted to participate in John Doe's karate classes at ANYWHERE, the undersigned hereby agrees to the following:
I agree to indemnify, defend, hold harmless and release John Doe, his elected and appointed officers, agents, employees, and volunteers from any and all lawsuits, damages, claims, judgements, losses, liability or expenses arising out of (1) the death or personal injury or property damage to, myself, my child or my ward, which may be sustained while participating in John Doe's karate class or any activity coordinated by John Doe, or (2) any death or injury which results or increases by any action taken to medically treat me, my child or my ward. All of the terms above shall apply whether or not caused by the alleged negligence, whether active or passive, or any acts or omissions of John Doe, or any of his elected or appointed officers, agents, employees or volunteers.
I also understand that John Doe does not carry insurance to cover participants in the activities in which I, my child or my ward am/is participating. I understand there are risks associated with these activities, and I assume the risk of any injuries that I, my child or my ward may sustain during any of these activities.
I have read, understand and approve this RELEASE FROM LIABILITY. IF the participant is a minor, the undersigned parent or legal guardian warrants and represents that this RELEASE, its significance and the assumption of risk has been explained to and understood by my minor child or ward. I hereby declare, under penalty of perjury, that I am the parent or legal guardian of the named participant.
Signature of Participant (of any age):
Date:
Date: ___________
Signature of Parent/Guardian (if Participant is a Minor):
In the event of sudden illness, accident, or injury which may occur while my child or ward, above identified, is engaged in an activity supervised or sponsored by John Doe, his employees, agents or volunteers, when neither the parents nor guardians can be contacted, I hereby give my consent for emergency medical treatment as shall be necessary under the circumstances by any medical care provider licensed under the laws of the State of ANY-STATE.
Signature of Parent/Guardian (if Participant is a Minor):
_____________________________________ Date: ____________
PARTICIPANTS MUST ALSO SIGN BELOW
I sign this statement below, because:
1.I know that all of the activities in John Doe's Karate Class are hazardous recreational activities;
2.I know there is the risk of injury or death if I participate in any of these activities;
3.I voluntarily participate in the activities of the John Doe Karate Class and I sign my name below so that I may participate - I can
choose not to sign this agreement by choosing not to participate;
4.I agree that if anything happens to me while participating, including injury or death, I release John Doe and any of his employees from liability; and
5.If I am injured while participating, I agree that anyone who provides medical assistance shall not be liable if they cause my death, increase my injury or cause additional injury.
Signature of Participant: ___________________________________________
Date: ________________________