Van-Ride Service Waiver and Release of Liability and
Hold Harmless Agreement

I,

, knowingly and voluntarily have made a request to allow my child, 

a participant with Slowfire LLC, [hereafter referred to as the “COMPANY”] to participate in 

the COMPANY’S van-ride service, and I do so at my own risk.

The COMPANY provides a service for parents to allow their child to be transported to and from the COMPANY’s classes and/or activities in order to facilitate participation.

 

In consideration of the COMPANY allowing me, and my child, to participate in the van-ride service, I voluntarily hereby release and agree to hold harmless the COMPANY and its directors, employees and agents thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the participant that occur while said person is participating in the van-ride service provision through The COMPANY. The undersigned further hereby agrees to hold harmless and indemnify the COMPANY and its directors, employees and agents for any liability sustained by my child, including expenses incurred attendant thereto.


I am fully aware of the risks and hazards connected with the activities of the van-ride service, and I am aware that such activities include the risk of injury and even death, and I hereby elect that my child can voluntarily participate in said activities. I understand that the COMPANY does not require me to participate in this activity. I voluntarily assume full responsibility for any risks of loss, property damage, or personal injury, including death that may be sustained by me or my child, or any loss or damage to property owned by me or my child, as a result of being engaged in such activities, WHETHER CAUSED BY THE RELEASEES or otherwise, to the fullest extent allowed by the law.


It is my express intent that this waiver and hold harmless agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased and shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE, the above named RELEASEES. I hereby further agree that this waiver of liability and hold harmless
agreement shall be construed in accordance with the laws of the State of Illinois and that any mediation, suit, or other proceeding must be filed or entered only in Illinois and the federal or state courts of Illinois. Any portion of this document deemed unlawful or unenforceable is severable and shall be stricken without any effect on the enforceability of the remaining provisions.

 

The undersigned further consents to the administration of first aid and/or doctor’s care, or any other form of medical treatment necessitated by illness or injury that may require the same.  In the event of the necessity of such care or treatment as heretofore described, the undersigned agrees to hold harmless and indemnify the COMPANY, its directors, employees, and agents from any acts of malfeasance, and/or failure to act on the part of those chosen to administer medical care on behalf of the participant.

 

I have carefully read, and I understand, acknowledge and agree to this release and waiver of liability, assumption of risk, and indemnity agreement. I understand that I have given up valuable rights by signing this agreement, and that this agreement represents a contract between the COMPANY and myself. I have voluntarily chosen to allow my child to participate in the COMPANY’S services, activities and van-ride service.

Thanks for submitting!