General Release

• I, __________________, of _______________________________________, do hereby acknowledge that I on the ______ day of __________________, 20___, do grant permission to the __________________________ to utilize the property located at ________________________________________ for the purpose of a fund raising event known as ________________________.

• I further acknowledge that I have been advised of the nature of the event am fully aware of the inherent dangers which may be involved.

• Now, therefore, I voluntarily and knowingly assume the risk for any damages that the aforementioned property may sustain during the activities.  I further, with the intention of binding myself, my spouse, my heirs, legal representatives and assigns, do hereby voluntarily and knowingly remise, release, and forever discharge and hold harmless  _______________. it’s officers, members and employees from actions, suits, damages, claims or judgements that may result from damage or injury sustained during the course of the event

• I have read and fully understand the provisions of this release and have voluntarily and knowingly execute said release with the express intention of effecting the extinguishment of claims and liability herein designated.  

• The provisions of this release shall prevail until revoked in writing to me, but in no event shall these provisions extend beyond 12:01 a.m. on the _______day of ______________, 20__.

• In testimony whereof, witness my hand on this ______ day of ______________, 20___.

_______________________________                                   ___________________________

                   Releasor                                                                                       Witness