Library Activity Waiver Form

HOOD RIVER COUNTY LIBRARY DISTRICT

Library Activities: Release, Hold Harmless, and Agreement Not to Sue

I request to participate in the Hood River County Library District (“Library”) Program and/or give permission for a minor(s) to participate. I
acknowledge that activities may be inherently dangerous, and as a participant, I assume the risk of physical injury, death, and property damage.
If I am a parent or guardian of a minor participating in the Program, my signature below serves as my
release of liability for the following minor(s) listed below:

In furtherance of this request, I hereby agree to the following Release, Hold Harmless, and Agreement

Not to Sue:
RELEASE, HOLD, HARMLESS AND AGREEMENT NOT TO SUE
I fully understand that participation in library activities exposes me to the risk of personal injury,
death, or property damage. I hereby acknowledge that I am participating in the library activities
for my personal benefit and agree to assume any risks. I hereby release, discharge and agree not to
sue Library, its officers, agents, and employees for any injury, death, or damage to or loss of
personal property arising out of or in connection with my participation in the library Program
from whatever cause, including the active or passive negligence of Library, including its officers,
agents, volunteers, and employees. In consideration for participation in the library Program, I
hereby agree, for myself, my heirs, administrators, executors, and assigns, that I shall indemnify
and hold harmless Library and its officers, agents, volunteers, and employees from any and all
claims, demands, actions, or suits arising out of or in connection with my participation in the
library Program.

I HAVE CAREFULLY READ THIS RELEASE, HOLD HARMLESS, AND AGREEMENT NOT TO SUE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT IT IS A FULL RELEASE OF ALL LIABILITY AND SIGN IT ON MY OWN FREE WILL.

Who will be participating?

Adult  Adult and Children  Children

Signee Information

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.