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 and be aware that in signing up and participating in 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 and associated with 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 my minor child/ward or I 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 accrue to me or my child/ward) as a result of participating in such program/activity against the County, including their respective officials, officers, employees, and volunteers (hereinafter collectively referred as “Parties”). I do hereby fully release and forever discharge the Parties from any and all claims for injuries, damages, or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with these program/activities.

I indemnify and hold harmless Lee County, any of its employees and/or agents from any and all claims from my use of county property or participation in any county programs. I will further indemnify and “hold harmless” the County, its employees and/or agents from all costs, expenses and liabilities resulting from any claim brought from my child’s/ children’s use of county property and/or participation in county programs to the extent of the County’s liability 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, for myself, my heirs, assigns, and my minor child(ren)’s) involvement or participation in the program as provided above.

 I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. Checking this box shall be substitute for and have the same legal effect as an original form signature.