Illinois Release of Liability Form
This Release of Liability Agreement ("Agreement") is made and entered into by the undersigned Releasor and Releasee. By signing this agreement, the Releasor waives the right to hold the Releasee liable for any damages, losses, or injuries that may occur as a result of participating in any activities, using equipment, or engaging in any other interactions arranged by the Releasee.
Please complete the following information:
- Releasor's Full Name: ___________________________________
- Releasor's Address: _____________________________________
- Releasee's Full Name: ___________________________________
- Releasee's Address: _____________________________________
- Activity/Event: __________________________________________
- Date of Activity/Event: __________________________________
- Specific Risks Associated with Activity/Event: ______________
In consideration of being permitted to participate in the above-named activity/event, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Releasor hereby releases and forever discharges the Releasee, their heirs, executors, administrators, and assigns, from any and all liabilities, claims, demands, expenses, fees, fines, penalties, suits, proceedings, actions, and causes of action, of any and every kind and nature, whether known or unknown, in law or equity, that Releasor ever had, now has, or in the future may have against the Releasee arising out of the Releasor's participation in the activity/event.
This Agreement is governed by and construed in accordance with the laws of the State of Illinois, without giving effect to any choice or conflict of law provision or rule.
Releasor has read this Agreement, fully understands its terms, and has had the opportunity to discuss any concerns with legal counsel. Releasor acknowledges that they are signing this Agreement freely and voluntarily, with a full understanding of its effects.
Releasor's Signature: ___________________________ Date: _______________
Releasee's Signature: ___________________________ Date: _______________
Witness Information (if applicable):
- Witness's Full Name: ___________________________________
- Witness's Signature: ___________________________ Date: _______________