PARTICIPANT WAIVER:

WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK FOR LEE COUNTY ADOPT-A-ROAD PROGRAM/ACTIVITIES

PLEASE READ THIS FORM CAREFULLY. By signing up and participating in the Lee County Adopt-A-Road program/activities, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages, or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with or associated with the Lee County Adopt-A-Road program/activities.

I recognize and acknowledge that there may be certain risks involved in participating in the Adopt-A-Road program/activities, and I voluntarily agree to assume the full risk of any injuries, damages, or loss that I or my minor child/ward may sustain as a result of said participation.

I further agree to waive and relinquish all claims I or my minor child/ward may have (or that may accrue to me or my child/ward) as a result of participating in such program/activity against Lee County including its respective officials, officers, employees, and volunteers, and Host Organization (including but not limited to a Homeowner’s Association or other group or entity sponsoring or coordinating Adopt-A-Road efforts under the program) including their respective officials, officers, employees, volunteers, members, guests, and agents (collectively referred to herein as the “Released Parties”).

I do hereby fully release and forever discharge the Released Parties from any and all claims for injuries, damages, or loss that I or my minor child/ward may have, or which may accrue to me or my minor child/ward, arising out of, connected with, or in any way associated with this program/activities.

I agree to indemnify and hold harmless the Released Parties from any and all claims resulting from my or my child(ren)’s participation in the program or use of County or Host Organization property or facilities, including any and all costs, expenses, and liabilities arising out of such claims, to the extent permitted under general law.

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above and, also for myself, my heirs, assigns, and my minor child(ren), release and agree to indemnify and hold harmless the Released Parties from any and all liabilities related to participation in this program as provided above.

  I have read and fully understand the above important information, warning of risk, assumption of risk, indemnification, and waiver and release of all claims. Checking this box shall have the same legal effect and constitutes my legal signature under Florida law.