Georgia Release of Liability
This Release of Liability ("Release") is made and effective as of __________ (date), by and between:
Participant: _____________________________________ (Name)
Address: _______________________________________ (Address)
and
Releasee: ______________________________________ (Name of Organization/Individual)
Address: _______________________________________ (Address)
For purposes of this Release, "Participant" refers to the individual named above, and "Releasee" refers to the organization or individual named above.
In consideration for being permitted to participate in the following activity:
Activity: _______________________________________ (Describe Activity)
Participant agrees as follows:
- Participant acknowledges that participation in the activity involves inherent risks, including but not limited to __________ (list known risks).
- Participant voluntarily assumes all risks associated with participation in this activity.
- Participant releases Releasee from any and all liability for personal injury, property damage, or wrongful death arising from participation in this activity.
- This Release is governed by the laws of the State of Georgia.
- This Release constitutes the entire agreement between the parties and supersedes all prior agreements or understandings.
Participant has read this Release, understands its terms, and executes it voluntarily. By signing below, Participant confirms acceptance of all terms and conditions.
Participant Signature: _______________________________ (Signature)
Print Name: ______________________________________ (Print Name)
Date: _____________________________________________ (Date)
Releasee Signature: _______________________________ (Signature)
Print Name: ______________________________________ (Print Name)
Date: _____________________________________________ (Date)