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WAIVER, RELEASE, HOLD HARMLESS, AND AGREEMENT NOT TO SUE
I, ______________________ (FULL NAME), fully understand that my participation in the
______________________ (hereinafter "event/class") exposes me to the risk of personal injury, death
or property damage. I hereby acknowledge that I am voluntarily participating in this event/class and
agree to assume any such risks.
I hereby release, discharge and agree not to sue the City of Monrovia for any injury, death or damage
to or loss of personal property arising out of, or in connection with, my participation in the event/class
from whatever cause, including the active or passive negligence of the City or any other participants in
the event/class. The parties to this AGREEMENT understand that this document is not intended to
release any party from any act or omission of “gross negligence,” as that term is used in applicable
case law and/or statutory provision.
In consideration for being permitted to participate in the event/class, I hereby agree, for myself, my
heirs, administrators, executors and assigns, that I shall indemnify, defend, and hold harmless the City
of Monrovia from any and all claims, demands actions or suits arising out of or in connection with my
participation in the event/class.
I HAVE CAREFULLY READ THIS RELEASE, HOLD HARMLESS AND AGREEMENT NOT TO SUE
AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT IT IS A FULL RELEASE OF ALL
LIABILITY AND SIGN IT ON MY OWN FREE WILL.

______________________________
Date Signature/ Parent or Guardian

(if under age 18)

DECLARATION

I, ____________________________________________________, declare under penalty of
perjury under the laws of the State of California that I am the parent or legal guardian of Minor. I
further declare that I shall indemnify, defend, and hold harmless the City of Monrovia from and
against any and all Claims resulting from, incident to, or arising out of Minor’s participation in the
event/class, any and all risks assumed by Minor and me above, and/or the breach of any
promises, covenants, and/or representations made by me herein and/or in the above Release.
By: _________________________________
Signature of Parent/Legal Guardian

Name: _______________________________
Printed Name of Parent/Legal Guardian