Arizona Release of Liability
This Release of Liability (the "Release") is made and entered into this _____ day of ___________, 20____, by and between:
Releasor: _______________________________ (Name)
Address: ___________________________________
City: _______________ State: AZ Zip: ____________
Phone Number: _______________________________
Releasee: _______________________________ (Name)
Address: ___________________________________
City: _______________ State: AZ Zip: ____________
Phone Number: _______________________________
In consideration of being allowed to participate in the following activity:
____________________________________________________ (Describe activity),
the undersigned Releasor agrees as follows:
- To release, waive, and discharge Releasee from any and all liabilities, claims, demands, or causes of action that may arise from the Releasor’s participation in the activity.
- To assume full responsibility for any risks of injury, including death, that may occur while participating in the activity.
- To indemnify and hold harmless Releasee from any claims arising from Releasor's participation in the activity.
- This Release is governed by the laws of the State of Arizona.
The Releasor acknowledges that they have read and understand this Release prior to signing it. The Releasor is aware that by signing this document, they may be giving up rights that they may have.
IN WITNESS WHEREOF, the Releasor has executed this Release as of the date first above written.
______________________________
Signature of Releasor
______________________________
Printed Name of Releasor
______________________________
Date