Signed in as:
filler@godaddy.com
Signed in as:
filler@godaddy.com
You are electronically signing the release form by paying the $35.00 Photoshoot site fee. You may print a copy or request a mailed copy at RENTAL@LAGRANGERR.ORG.. By paying the fee ONLINE, you receive INSTANT approval and access.
WAIVER AND RELEASE OF LIABILITY
IN CONSIDERATION OF the risk of injury that exists while participating in PROFESSIONAL
PHOTOGRAPHY SESSION (hereinafter the "Activity"); and
IN CONSIDERATION OF my desire to participate in said Activity and being given the right to
participate in same;
I HEREBY, for myself, my heirs, executors, administrators, assigns, or personal representatives
(hereinafter collectively, "Releasor," "I" or "me", which terms shall also include Releasor's parents
or guardian if Releasor is under 18 years of age), knowingly and voluntarily enter into this
WAIVER AND RELEASE OF LIABILITY and hereby waive any and all rights, claims or causes of
action of any kind arising out of my participation in the Activity; and
I HEREBY release and forever discharge LA GRANGE RAILROAD MUSEUM, located at 412 E
Main St, La Grange, Kentucky 40031, their affiliates, managers, members, agents, attorneys,
staff, volunteers, heirs, representatives, predecessors, successors and assigns (collectively
"Releasees"), from any physical or psychological injury that I may suffer as a direct result of my
participation in the aforementioned Activity.
I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM
PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE
RISKS ASSOCIATED WITH PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT
ARE NOT LIMITED TO: PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING,
ILLNESS, DISFIGUREMENT, TEMPORARY OR PERMANENT DISABILITY (INCLUDING
PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT
THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS' NEGLIGENCE,
CONDITIONS RELATED TO TRAVEL TO AND FROM THE ACTIVITY, OR FROM
CONDITIONS AT THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL RELATED
RISKS, BOTH KNOWN AND UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTIVITY.
I FURTHER AGREE to indemnify, defend and hold harmless the Releasees against any and all
claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise
brought by me or anyone on my behalf, including attorney's fees and any related costs.
I FURTHER ACKNOWLEDGE that Releasees are not responsible for errors, omissions, acts or
failures to act of any party or entity conducting a specific event or activity on behalf of Releasees.
In the event that I should require medical care or treatment, I authorize La Grange Railroad
Museum to provide all emergency medical care deemed necessary, including but not limited to,
first aid, CPR, the use of AEDs, emergency medical transport, and sharing of medical information
with medical personnel. I further agree to assume all costs involved and agree to be financially
responsible for any costs incurred as a result of such treatment. I am aware and understand that I
should carry my own health insurance.
I FURTHER ACKNOWLEDGE that this Activity may involve a test of a person's physical and
mental limits and may carry with it the potential for death, serious injury, and property loss. I
agree not to participate in the Activity unless I am medically able and properly trained, and I
agree to abide by the decision of the La Grange Railroad Museum official or agent, regarding my
approval to participate in the Activity.
I HEREBY ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS "WAIVER AND
RELEASE" AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I
EXPRESSLY AGREE TO RELEASE AND DISCHARGE La Grange Railroad MuseumAND
ALL OF ITS AFFILIATES, MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF,
VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND
ASSIGNS, FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO
VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A
LEGAL ACTION AGAINST La Grange Railroad Museum FOR PERSONAL INJURY OR
PROPERTY DAMAGE.
To the extent that statute or case law does not prohibit releases for ordinary negligence, this
release is also for such negligence on the part of La Grange Railroad Museum, its agents, and
employees.
I agree that this Release shall be governed for all purposes by Kentucky law, without regard to
any conflict of law principles. This Release supersedes any and all previous oral or written
promises or other agreements.
In the event that any damage to equipment or facilities occurs as a result of my or my family's or
my agent's willful actions, neglect or recklessness, I acknowledge and agree to be held liable for
any and all costs associated with any such actions of neglect or recklessness.
THIS WAIVER AND RELEASE OF LIABILITY SHALL REMAIN IN EFFECT FOR THE
DURATION OF MY PARTICIPATION IN THE ACTIVITY, DURING THIS INITIAL AND ALL
SUBSEQUENT EVENTS OF PARTICIPATION.
THIS AGREEMENT
was entered into at arm's-length, without duress or coercion, and is to be
interpreted as an agreement between two parties of equal bargaining strength. Both Participant,
________ and La Grange Railroad Museum agree that this agreement is
clear and unambiguous as to its terms, and that no other evidence shall be used or admitted to
alter or explain the terms of this agreement, but that it will be interpreted based on the language
in accordance with the purposes for which it is entered into.
In the event that any provision contained within this Release of Liability shall be deemed to be
severable or invalid, or if any term, condition, phrase or portion of this agreement shall be
determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall
remain in full force and effect. If a court should find that any provision of this agreement to be
invalid or unenforceable, but that by limiting said provision it would become valid and enforceable,
then said provision shall be deemed to be written, construed and enforced as so limited.
In the event of an emergency, please contact the following person(s) in the order presented:
Emergency Contact Contact Relationship Contact Telephone
I, THE UNDERSIGNED PARTICIPANT, AFFIRM THAT I AM OF THE AGE OF 18 YEARS OR
OLDER, AND THAT I AM FREELY SIGNING THIS AGREEMENT. I CERTIFY THAT I HAVE
READ THIS AGREEMENT, THAT I FULLY UNDERSTAND ITS CONTENT AND THAT THIS
RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE THAT THIS IS A RELEASE OF
LIABILITY AND A CONTRACT AND THAT I AM SIGNING IT OF MY OWN FREE WILL.
Participant's Name:
Participant's Address:
Signature:
Date:
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