Village of Campbellsport
 

VOLUNTARY RELEASE, ACKNOWLEDGEMENT

AND ACCEPTANCE OF RISKS BY PARTICIPANT

 

           In order to participate in this activity, I agree to hold the Village of Campbellsport, its officers, board members and employees harmless, and I waive any right to make claims or lawsuits against them. I acknowledge that this is not an essential service provided by the Village of Campbellsport.

 

            I understand and acknowledge that the activities that I am about to voluntarily engage in as a participant have certain known and unknown risks.  Some of these risks include the risks of falling and coming into contact with hard objects, latent or apparent defects or conditions in equipment or property, and passive or active negligent acts of myself.  I understand that the above list is not complete or exhaustive and that those and other risks known or unknown, anticipated or unanticipated may also result in injury, death, illness, disease or damage to me or my property or other third parties.  I voluntarily agree and promise to accept and assume all responsibilities, and injuries, death, illness, disease or damage to myself or my property arising from my participation in this activity.

 

            I acknowledge the Village of Campbellsport will not pay for immediate first aid or other treatment and that such medical costs are my responsibility.

 

            My signature indicates that I have read this entire document, understand it completely, acknowledge that it cannot be modified or changed in any way by oral representations, and agree to be bound by its terms.  This agreement shall be binding on behalf of me, my heirs, assigns, personal representative and estate.