IN CONSIDERATION OF the risk of injury that exists while participating in the RIDE ALONG PROGRAM and
IN CONSIDERATION OF my desire to participate in the program and being given the right
to participate in same;
I HEREBY, for myself, my heirs, executors, administrators, assigns, or personal
representatives (hereinafter collectively, "Releasor," "I" or "me"),
knowingly and voluntarily enter this
WAIVER AND RELEASE OF LIABILITY and hereby waive any and all rights, claims or causes
of action of any kind arising out of participation in the Activity; and
I HEREBY, assert that I am over the age of 18 and legally able to enter into this agreement; and
I HEREBY release and forever discharge HOBOKEN VOLUNTEER AMBULANCE CORPS,
located at 707 Clinton St, Hoboken, New Jersey 07030, their affiliates, managers, members,
agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and
assigns (collectively "Releases"), from any physical or psychological injury that I may suffer
as a direct result of my participation in the aforementioned activity.
I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM
PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED
WITH PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO: PHYSICAL OR
PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENTS, TEMPORARY OR PERMANENT
DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT
THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS' NEGLIGENCE, CONDITIONS RELATED
TO TRAVEL TO AND FROM THE ACTIVITY, OR FROM CONDITIONS AT THE ACTIVITY LOCATION(S).
NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN AND UNKNOWN TO ME, OF MY PARTICIPATION
IN THIS ACTIVITY.
I FURTHER ACKNOWLEDGE that in the event that I should require medical care or
treatment, I agree to be financially responsible for any costs incurred as a result of such
treatment. I am aware and understand that I should carry my own health insurance.
I FURTHER ACKNOWLEDGE that this activity may involve a test of a person's physical
and mental limits and may carry with it the potential for death, serious injury, and property
loss. I agree not to participate in the Activity unless I am medically able and properly
trained, and I agree to abide by the decision of the Hoboken Volunteer Ambulance Corps
official or agent, regarding my approval to participate in the Activity.
I HEREBY ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS "WAIVER AND RELEASE"
AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELEASE AND
DISCHARGE Hoboken Volunteer Ambulance Corps AND ALL OF ITS AFFILIATES, MANAGERS,
MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM ANY AND ALL
CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I
OTHERWISE
HAVE TO BRING A LEGAL ACTION AGAINST Hoboken Volunteer Ambulance Corps FOR
PERSONAL INJURY OR PROPERTY DAMAGE.
I agree that this release shall be governed for all purposes by New Jersey law, without
regard to any conflict of law principles. This Release supersedes any and all previous oral or
written promises or other agreements.
In the event that any damage to equipment or facilities occurs as a result of my or my
family's or my agent's willful actions, neglect or recklessness, I acknowledge and agree to be
held liable for any and all costs associated with any such actions of neglect or recklessness.
THIS WAIVER AND RELEASE OF LIABILITY SHALL REMAIN IN EFFECT FOR THE
DURATION OF MY PARTICIPATION IN THE ACTIVITY, DURING THIS INITIAL AND ALL SUBSEQUENT EVENTS
OF PARTICIPATION.
THIS AGREEMENT was entered into without duress or coercion, and is to be interpreted
as an agreement between two parties of equal bargaining strength. Both participant,
, and
Hoboken Volunteer Ambulance Corps agree that this agreement is clear and unambiguous
as to its terms, and that no other evidence shall be used or admitted to alter or explain the
terms of this agreement, but that it will be interpreted based on the language in accordance
with the purposes for which it is entered into.
I, THE UNDERSIGNED PARTICIPANT, AFFIRM THAT I AM OF THE AGE OF 18 YEARS OR OLDER, AND
THAT I AM FREELY SIGNING THIS AGREEMENT. I CERTIFY THAT I HAVE READ THIS AGREEMENT, THAT I
FULLY UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE
THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND THAT I AM SIGNING BY MY OWN FREE
WILL.
