LIABILITY WAIVER FORM


I/We have read the regulations for my/our use of the Brundage Point River Centre and agree to be bound by them. In consideration of my/our use of the facility, I/we agree to indemnify and save harmless the Town of Grand Bay-Westfield, its agents, servants, employees and officials from and against all claims, actions, costs, expenses and demands in respect to death, injury, loss or damage of my/our person or property, however caused, arising out of or in connection with my/our utilization of facilities and notwithstanding that the same may have been contributed to or occasioned by the negligence of the Town of Grand Bay-Westfield, its agents, servants, employees or officials, or any of them. It is understood and agreed that this agreement is to be binding upon myself/ourselves, my/our heirs, executors, administrators, successors and assigns, as the case may be. 

IN WITNESS WHEREOF I/WE have hereunder hereunto set my/our hand and

seal this _____ day of ____________________, 200__.
 

_____________________________________
(Name of Association)
 

_____________________________________
(Contact Person)
 

_____________________________________
(Authorized Signature)