Indemnification and Hold Harmless Agreement

Release: I and behalf myself and/or child who are listed in this application hereby release the Borough of Somerville and the Borough of Somerville Recreation Department from any and all liability from bodily injury, personal injury and/or property damage that may occur on premises or as a result of our participation in the Borough of Somerville Recreation program. The participant named in this application  individually or through their parent or guardian, hereby agrees to protect, indemnify and hold harmless the Borough of Somerville, its officers, directors, employees, officials, volunteers, agents, subcontractors and affiliates (collectively referred to as “Indemnified Parties”) from and against any and all liabilities, losses, damages, costs, expenses (including attorney’s fees and expenses), causes of actions, suits and claims of any nature whatsoever. Such indemnification shall include but not be limited to, matters arising from, based upon, or relating to (a) Personal Injury or death to, or damage to or loss of property of, loss of use of property, to any person caused in whole or in part by the negligence of the Indemnified Party in connection with such indemnified Party’s involvement or participation in the aforementioned activity.

I hereby grant permission for myself and/or child  as parent/guardian and on behalf of any other named person in this application, hereby authorize and consent to the use of his/her visual image by the Borough of Somerville and the Borough of Somerville Recreation Department for appropriate purposes, including but not limited to: still photography, videotape, electronic and print publications and websites. I give this consent with no claim for payment.