GENERAL RELEASE OF LIABILITY
For and in consideration of my being
allowed to participate in the ______________ program under auspices of the
______________ (entity name), and in recognition of my own personal benefit from
such program, I do hereby release ______________ (entity name), a political
subdivision of the State of Idaho, and any and all other officers, employees,
volunteers, agents, insurers and any elected or appointed officials of said
ENTITY, individuals or entities affiliated with such persons and/or entities,
from any and all civil liability or any and all forms of injury which may arise
as a result of my participation in such program.
I acknowledge that I understand that
there are many known and unknown dangers and/or risks associated with me
participating in this program and I grant a general release, for myself, my
heirs, executors, administrators and assigns and I waive, remise and forever
discharge and release ____________ (entity name) and any and all elected or
appointed officials of said ENTITY, and all officers, employees, volunteers,
agents, insurers and any other individuals or entities affiliated with such
persons and/or entities from any and all claims, several or otherwise, past,
present or future, which can or may ever be asserted as a result of any injuries
or damages, physical or mental, sustained by me while I am participating in said
program in any way, including my coming and going from such program.
I understand that this release does not
waive any rights I may have under the workmen's compensation laws of the State
of Idaho or any protection I may have under the Idaho Tort Claims Act; however,
I also expressly understand and acknowledge that this release does not create
any rights not specifically and expressly provided to me under the workmen's
compensation laws or Tort Claims Act. I
further understand that my participation in the aforementioned program does not
create any form of employment with _______________ (entity name) and does not
grant me any rights that are not expressly provided for by law or contract.
I acknowledge that I am serving in a
volunteer capacity for the services to be rendered and I am not entitled wages,
pay or the usual benefits of employees of the ENTITY.
I further represent that I am not currently employed by the ENTITY.
I have read the foregoing and
understand that the terms of this agreement are contractually and legally
binding and that no verbal statement to the contrary, by any person or entity,
can void or alter the terms of this agreement.
DATED this ______ day of
of Witness or Notary Public)