Old Yoakum Hospital Group - Old Yoakum Hospital Waiver of Liability Form
Open House Investigations Of The Old Yoakum Hospital.
Yoakum Waiver of Liability Form
Read and accept all terms to gain entrance to The Old Yoakum Hospital. Each person entering must complete a copy of this Waiver and
be returned to releasee's prior to your investigation.
WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT
1. In consideration for receiving permission to participate in the Permission to enter and investigate the Old Yoakum Hospital A WHOLLY OWNED PRIVATE HOMESTEAD/NON COMMERCIAL PROPERTY, I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE The property Owners, Old Yoakum Hospital Group , their officers, agents, sub-group, volunteers, or employees (hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in such activity, while in, on or upon the premises where the activities are being conducted, REGARDLESS OF WHETHER SUCH LOSS IS CAUSED BY THE NEGLIGENCE OF THE RELEASEES, or otherwise and regardless of whether such liability arises in tort, contract, strict liability, or otherwise, to the fullest extent allowed by law.
2. I am fully aware of the risks and hazards connected with the activities of gaining permission to enter to the Old Yoakum Hospital, and I am aware that such activities include the risk of injury and even death, and I hereby elect to
participate in said activities, knowing that the activities may be hazardous to my property and me. I understand that the RELEASEES do 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 any loss or damage to property owned by me, as a result of being engaged in such an activities, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES, ACTS OF GOD, or otherwise, to the fullest extent allowed by law.
3. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEES from any loss, liability, damage, or costs, including court costs and attorneys' fees that Releasees may incur due to my participation in said activities, WHETHER CAUSED BY NEGLIGENCE OF RELEASEES or otherwise, to the fullest extent allowed by law.
4. 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 TEXAS and that any mediation, suit, or other proceeding must be filed or entered into only in TEXAS and the federal or state courts of TEXAS. 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.
IN SIGNING and sending THIS AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Wavier of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I execute this Agreement for full, adequate and complete consideration fully intending to be bound by same.
Please add any comments or special requests in this section.
I Agree to all the above terms
I agree to all the above terms and understand that i am not being forced into accepting the above terms and i am accepting all responsibilties.
Name of Individual
Address of Individual
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Trinidad and Tobago
Bosnia and Herzegovina
United Arab Emirates
Papua New Guinea
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Sao Tome and Principe
United Republic of Tanzania
Date of your investigation
Email of Individual or Organization
Web Site if applicable