Tell Us More About You, and Why You Would Be a Good Fit for Pinnacle Search and Rescue
Make, Model, Length, Horsepower Motor
List any Equipment You Have To Support the Mission
In consideration for Pinnacle Search and Rescue and all its entities (“Owner”) allowing use of Owner’s equipment, property and/or facilities wherever located (collectively referred to as the “Facilities”) and participation in (the “Activity”) organized by Owner, by signing this document, I do hereby agree and consent to the following conditions:
I understand and acknowledge there are certain inherent risks in participating in the Activity organized by the Owner. The owner shall not be held liable for any damage to personal items caused by materials used during the Activity. I assume all risks associated with participation in the Activity.
I certify to the best of my knowledge, my current physical condition is satisfactory for participation in the Activity, and that I am free of any health problem that would affect my ability to participate.
I hereby unconditionally waive and release any right I might have for damages or other relief from Owner, its members, agents, employees or representatives as a result of any personal injury or property damage that I or any person that I bring or invite to the Facilities may suffer during the Activity, including, without limitation, injury or damage arising out of acts or omissions constituting negligence or gross negligence or facts or conditions that would give rise to premises liability. I further agree to not bring any suit based in whole or in part on any claim covered by this waiver. I agree to defend, indemnify and hold harmless, Owner, its members, agents, employees or representatives from any claims, demands, costs, losses or expenses incurred on behalf of me or my family arising out of or in the course of or in any way related to my participation in the Activity and/or use of the Facilities. I hereby further agree that this Participation Waiver, Release of Liability & Agreement to Indemnify is made in accordance with the laws of the State of Louisiana.
In the event of an accident or emergency, I would like to be taken to a hospital for medical treatment and I hold the Owner and its representatives harmless in their execution of this action. Additionally, I hereby agree to individually provide for all possible future medical expenses, which may be incurred by me as a result of any injury, sustained while participating in the Activity at the Facilities.
This agreement is binding on my heirs, personal representatives, next of kin, spouse and assigns.
I hereby give permission for myself to be photographed, videotaped or recorded for publicity purposes and that I waive all claims for compensation.
By signing this Participation Waiver, Release of Liability & Agreement to Indemnify, I state that I have read and understand the conditions set forth in this release and have been given the opportunity to speak with a representative of Owner before signing this release and that I sign this voluntarily.