Illinois Release of Liability
This Release of Liability is made and entered into on this ___ day of __________, 20___, by and between:
Releasor:
Name: _______________________________________________
Address: _____________________________________________
City: ________________________ State: __________ Zip: __________
Releasee:
Name: _______________________________________________
Address: _____________________________________________
City: ________________________ State: __________ Zip: __________
Whereas, Releasor desires to participate in the following activity: _____________________________________________ (the "Activity").
In consideration of being permitted to participate in the Activity, Releasor agrees to the terms and conditions set forth in this Release of Liability:
- The Releasor acknowledges that participation in the Activity may involve inherent risks.
- The Releasor accepts full responsibility for any risks associated with participation in the Activity.
- The Releasor releases and holds harmless Releasee from any liability for any injury, loss, or damage incurred as a result of participation in the Activity.
- This Release of Liability is governed by the laws of the State of Illinois.
- This document represents the entire agreement between the parties and supersedes any prior agreements or understandings.
The Releasor has read and fully understands this Release of Liability. By signing below, the Releasor acknowledges acceptance of these terms.
Signature of Releasor: ______________________________________
Date: ___________
Emergency Contact Name: __________________________________
Emergency Contact Phone Number: _________________________