Illinois Release of Liability
This Release of Liability (“Release”) is made and entered into as of this ____ day of __________, 20__, by and between:
Participant Name: _________________________________________________
Address: ______________________________________________________
City, State, Zip Code: _________________________________________
Hereinafter referred to as “Participant”
and
Company/Organization Name: ______________________________________
Address: ______________________________________________________
City, State, Zip Code: _________________________________________
Hereinafter referred to as “Provider”
This Release is executed in accordance with the statutes of the State of Illinois.
1. Acknowledgment of Risks
The Participant acknowledges that participation in the activities provided by the Provider may involve inherent risks, including but not limited to:
- Premises risks
- Equipment failure
- Personal injuries
- Environmental hazards
2. Release of Liability
The Participant hereby releases, waives, and discharges the Provider from any and all liability for any injuries, including but not limited to, any bodily injury, disability, death, or loss or damage to personal property.
3. Indemnification
The Participant agrees to indemnify and hold harmless the Provider against any claims arising from the participation in the activities provided.
4. Governing Law
This Release shall be governed by and construed in accordance with the laws of the State of Illinois.
5. Severability
If any provision of this Release is found to be unenforceable, the remaining provisions shall continue in full force and effect.
6. Acknowledgment of Understanding
The Participant has read this Release, understands its terms, and acknowledges that they are giving up substantial rights.
IN WITNESS WHEREOF, the Participant has executed this Release as of the date first above written.
Participant's Signature: __________________________________________
Date: ________________________________________________________
Provider's Signature: ___________________________________________
Date: ________________________________________________________