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20841 Ventura Boulevard, Woodland Hills, CA 91364 ( (818) 348-PLAY ( www.otbee.com
Field Class
Property Liability Waiver Form
To the best of my knowledge, I am in good physical condition and fully able to participate in educational activities and events located at the residential property belonging to ___________________________________ located at:
____________________________________________________________________________________________
I am fully aware of the risks and hazards connected with the participation in these activities, including physical injury, and herby elect to voluntarily participate in said groups, meetings and/or activities. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OR LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, which may be sustained by me, my child/children, or loss or damage to property owned by me, as a result of participation in these groups at said property.
I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE, ___________________ and her/his immediate family (property owner) and hold them free and harmless from any and all liability, claims, demands, actions and causes of action whatsoever arising out of, or related to, any loss, damage, or injury, including death, which may be sustained by me, or to any property belonging to me, while participating in Outside the Box activities, or while on or upon the premises where said groups are being conducted.
I hereby further agree that this Property Waiver of Liability shall be constructed in accordance with the laws of the State of California.
In signing this release, I acknowledge and represent that I HAVE READ THE FORGOING Property Liability Waiver, UNDERSTAND THE TERMS AND SIGN IT VOLUNTARILY as my own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreement have been made; and I EXECUTE THIS RELEASE FOR FULL, ADEQUATE AND COMPLETE CONSIDERATION FULLY INTENDING TO BE BOUND BY SAME.
I hereby hold Outside the Box, its Sole Proprietor, its Corporation, its instructors, and the Homeowner to which the property is owned or rented where said group is being held harmless.
I am over the age of eighteen.
_____________________________________ _________________
Printed Name Dated
_____________________________________
Signed Name
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