INDIVIDUAL RELEASE OF LIABILITY/HOLD HARMLESS AGREEMENT
PRIVACY ACT STATEMENT
This information is collected pursuant to 5 USC 301. The purpose of this information is to form a legally binding release agreement. The information will be used to evaluate and defend potential claims against individuals concerned and the United States Government. The information could ultimately be used in civil litigation and in the course of preparation for litigation. Supplying this information is voluntary; however, failure to provide the information could result in a denial of permission to participate in the event stated below.
I, the undersigned, acting in my own capacity and on behalf of myself, my heirs and estate, in consideration of receiving permission from representatives of the U.S. Army ROTC program at the University of Cincinnati, to participate in the Norwegian Ruck March type event, do hereby release the United States; U.S. Army; the Commanding General, U.S. Army Cadet Command and its officers, University of Cincinnati (UC), agents and employees from any liability, claims, court actions or causes of action for personal injury, illness or property damage which I may suffer while participating in the said event, during my transportation to and from the site, or while using facilities at coordinated by UC an/or Army ROTC. This release from liability covers any injury, illness or damage to include participation in this event.
I also agree to hold harmless the same individuals and entities outlined above from any liability, claims, court actions or causes of action for any damage or injury I may cause to the person or property of other persons while participating in the Norwegian Ruck March while using coordinated facilities.
I make this Release of Liability/Hold Harmless Waiver voluntarily, understanding that the use of facilities and equipment used for this event at the designated location can be rigorous and hazardous, and realizing the consequences of said waiver and release.
_______________________________________ Norwegian Ruck March type event_
PARENT OR GUARDIAN IF PARTICIPANT IS
UNDER 18 YEARS OF AGE