CrawfordHouse.Commonwealth of Kentucky WAIVER AND RELEASE OF LIABILITY AND CLAIMS--Crawford House.pdf
PDF 618 KB Posted
- Solicitation number
- RFB-785-2400000110-2
- Issued by
- Boyle County, Kentucky
About this file
This document is a Waiver and Release of Liability and Claims form from the Commonwealth of Kentucky. It releases the Commonwealth of Kentucky, the Finance and Administration Cabinet, the Tourism, Arts and Heritage Cabinet, Kentucky Department of Parks, The Kentucky Heritage Council, and the named state park from liability for any personal injury or damages suffered during a specific event or activity taking place at the named location on a specified date. The participant acknowledges the inherent risks associated with the event and agrees to participate at their own risk.
The document does not contain any information about a state or local contract opportunity. It is solely a liability waiver form for the participant to sign prior to engaging in an activity or event at a Kentucky state park or facility.
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Text version
COMMONWEALTH OF KENTUCKY
WAIVER AND RELEASE OF LIABILITY AND CLAIMS
LOCATION: __________________________________________________
EVENT: __________________________________________________
DATE OF EVENT: _______________ _____, 20___
I, _______________________________, the undersigned, plan to participate in ______________________________ (name of activity) at ________________________ (name of location) on ________________ _____, 20___ (date of activity).
In case of an accident or injury during this activity, I hereby covenant, promise and agree for myself, my personal representatives, heirs, and next of kin that neither the Commonwealth of Kentucky, by and through the Finance and Administration Cabinet, the Tourism, Arts and Heritage Cabinet, Kentucky Department of Parks, The Kentucky Heritage Council nor ___________________________________ (name of state park), any of its agents, officers or employees shall be held responsible or liable for any negligence, implied or otherwise, for personal injury or damages suffered or sustained by me in connection with, arising out of, or resulting from any and all activities associated with the abovementioned event. I understand the inherent risk associated with the aforementioned event and participate at my own risk.
PARTICIPANT NAME (Please Print)
PARTICIPANT SIGNATURE DATE
WITNESS NAME (Please Print)
WITNESS SIGNATURE DATE
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