WAIVER OF LIABILITY AND RELEASE AGREEMENT
THIS IS A RELEASE OF LIABILITY. PLEASE READ CAREFULLY BEFORE SIGNING.
To the fullest extent provided by law, the undersigned hereby waives, releases, and discharges any and all right, claim or demand against Adaptive Golf Program, a Colorado Non-Profit Corporation, its Board of Directors, its Executive Director, its volunteers, agents, assigns, executors, administrators, trustees, insurers, employees, and any and all persons or entities with which it is associated (collectively "AGP") for any injury, loss or damage to the undersigned including any injury, illness, other claimed losses or damages and any other claims, and from any other loss, damage or expense that results from or in any way arises out of or relates to AGP’s provision of charitable functions, lessons, tournaments, etc., to the undersigned and for the provision of any related services or for any related activities.
I hereby release, and agree not to sue AGP, referred to collectively as the "Release Parties" and hold the same harmless from and against any and all liability, claims, demands or actions or causes of action whatsoever, arising out of damage, loss or injury to me, whether anticipated or unanticipated, arising out of AGP’s provision of charitable golf lessons, tournaments, functions and/or other services contemplated by this agreement, whether such claim, injury, damage, or loss results from the gross negligence of the Released Parties, their respective volunteers, agents, officers, employees, successors, assigns, insurers, etc., or from any other cause.
The undersigned agrees to defend, indemnify and hold AGP harmless from any claim that may be made by undersigned, and/or any other person or individual that results from or in any way arises out of or relates to AGP’s provision of services. Undersigned identified below hereby also releases AGP from any and all claims for damages of whatsoever nature or kind that may occur to any personal property in use during the golf program and during the time in which AGP is providing services, whether arising out of AGP’s services or some other incident which may include, but are not limited to, fire, flood, storm, or any act of God, or damage in connection therewith, including monetary damages, costs and attorney’s fees of any kind.
This waiver of liability and release agreement shall be binding upon the undersigned, his, her, or its insurers, heirs, successors, assigns, trusts, trustees, administrators, personal representatives, executors, directors, agents and employees.
If any portion of this waiver of liability and release agreement is found to be void or unenforceable the remaining portions shall remain in full force and effect.
I HEREBY ACKNOWLEDGE THAT I HAVE CAREFULLY READ, UNDERSTOOD AND VOLUNTARILY AGREED TO THE WAIVER OF LIABILITY AND RELEASE AGREEMENT, AND AS APPLICABLE, THE MEDIA WAIVER, PHOTO AND VIDEO RELEASE AGREEMENT, ON BEHALF OF THE UNDERSIGNED.
AGP Volunteer Contact Information:
Date of Birth:
Printed Name of AGP Volunteer:
I have read the WAIVER OF LIABILITY AND RELEASE AGREEMENT and I am authorized to give my consent to sign this document electronically.
Yes
Background Check Report Authorization
CONFIDENTIAL
Adaptive Golf Program Volunteers are invaluable to the success and growth of our golfing program here in Durango, Colorado. We appreciate everyone who selflessly donates their time and compassionate service to help make the game of golf available to our disabled community. In furtherance of this mission and to insure the safety of all our participant-golfers, we require a Background Check Report as a precondition to your volunteer service.
The undersigned hereby authorizes Adaptive Golf Program, a Colorado Non-Profit Corporation, and its designated agents and representatives (collectively “AGP”) to conduct a comprehensive review of my background causing an investigative Background Check Report to be generated for volunteer purposes. I understand that the scope of the investigative report may include, but is not limited to civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records.
AGP and its designated agents and representatives shall maintain all information received from this authorization in a confidential manner in order to protect the undersigned's personal information, including, but not limited to, address, driver’s license number and date of birth.
Date of Birth:
Signer's Printed Name:
I have read the Background Check Report Authorization and I am authorized to give my consent to sign this document electronically.
Yes
