Georgia Release of Liability
This Release of Liability is executed on this ___ day of __________, 20__ by and between:
Releasor: ____________________________ (Name)
Address: ____________________________
City, State, Zip: ____________________________
Phone Number: ____________________________
Releasee: ____________________________ (Name)
Address: ____________________________
City, State, Zip: ____________________________
Phone Number: ____________________________
In consideration for being allowed to participate in the following activity:
Activity: ______________________________________
The Releasor agrees to the following terms:
- The Releasor releases the Releasee from any claims, demands, or causes of action that may arise from the participation in the above-named activity.
- The Releasor assumes all risks associated with the activity.
- This release is in accordance with the laws of the State of Georgia.
By signing this document, the Releasor acknowledges that they have read and understood the terms of this Release of Liability.
Releasor Signature: ____________________________
Date: ____________________________
Parent/Guardian Signature (if Releasor is under 18): ____________________________
Date: ____________________________
This document serves as a binding agreement between the parties involved.