Social Circle Police Department
138 E. Hightower Trail Social Circle, Georgia 30025
Office: (770) 464-2366 | Fax: (770) 464-4088 | www.socialcirclega.com
Will Brinkley, Chief of Police
Waiver and Hold Harmless Agreement
KNOW ALL PERSON(S) BY THESE PRESENTS that the undersigned, being (21) years of
age or older, and laboring under no limitations as to ability contract, does hereby release the
CITY OF SOCIAL CIRCLE, MAYOR, COUNCIL, SOCIAL CIRCLE POLICE
DEPARTMENT, and all elected and appointed officials or employees of said city and
department from any liability whatever as a consequence of any injury to my person, or
damage to my property, as a result of said SOCIAL CIRCLE POLICE DEPARTMENT
granting my request to participate in the Citizen’s Police Academy. I freely and
voluntarily accept all risks, and I agree to hold the CITY OF SOCIAL CIRCLE, MAYOR,
COUNCIL, SOCIAL CIRCLE POLICE DEPARTMENT, and all agents and employees
harmless from claim and/or loss of any nature as described above, including, but not limited
to, medical expenses, loss of income, temporary or permanent injury or disability resulting
from injury, pain and suffering, or loss of personal property. I further agree that the CITY OF
SOCIAL CIRCLE, MAYOR, COUNCIL, SOCIAL CIRCLE POLICE DEPARTMENT, nor
any official, agent, or employee owes me any duty whatever about this privilege. I further
agree, that should any person be damaged due to my negligence, I will assume all
responsibility and hold the CITY OF SOCIAL CIRCLE, MAYOR, COUNCIL, SOCIAL
CIRCLE POLICE DEPRTMANT, and/or officials, agents, and employees harmless against
claim or loss.
I further agree that I will promptly reimburse for any damages to said facility or equipment.
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