Release of Claims, Indemnity and Hold Harmless Agreement
I,
, in consideration of the opportunity to participate in a sporting
event or other recreational activity at the Town’s fields (the Program), do hereby release the Town of Westford, and
any employees, agents, officials, representatives, officers, committees, boards, members, sponsors, agents,
associates of any status, and volunteers of the Town of Westford, of any and all liability for any and all claims,
actions, causes of action, demands, damages, costs, loss of services, expenses and compensation which I may have
as the result of my participation in the Program and all activities related thereto. I further acknowledge that
participation in the program is voluntary and may expose me or my property to risks of personal injury. I therefore
enter this program assuming all risk of injury to my person or property arising from my participation in the Program,
and in this regard, assume and agree to pay all medical costs or property damage costs occasioned and thereby
releasing the Town of Westford and any employees, agents, officials, representatives, officers, committees, boards,
members, sponsors, agents, associates of any status, and volunteers of the Town of Westford from and against all
claims, damages, injuries or causes of action which I or my heirs, executors, or administrators may have herein.
Furthermore, I hereby agree to protect the Town of Westford and its successors, departments, boards, committees,
officers, employees, servants, attorneys and agents against any claim for damages, compensation or otherwise
arising out of or resulting from any injury to any party in connection with my participation in the aforementioned
Program and to INDEMNIFY, reimburse or make good to the Town of Westford or its successors, departments,
committees, boards, officers, employees, servants and agents any loss or damage or costs, including attorneys’ fees,
which the Town of Westford or its representatives may have to pay if any claims or litigation arises from said
participation in the aforementioned activities.
I hereby further covenant for myself, my successors and assigns not to sue the said Town of Westford, or
its departments, officers, employees, servants, attorneys, and agents, on account of any such claim, demand or
liability.
I
am fully aware that by signing this document I am releasing the above mentioned parties from liability
that may arise as a result of intentional or negligent acts of these parties. Additionally, it is my intent to release the
above mentioned parties from liability relating to any accident and resulting injuries and/or death that may occur
while participating in the Program.
W
itness my hand and seal this
day of
, 20
___.
Program Participant (Signature) Program Participant (Printed)
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