Appendix A

Participant Organizational/Release of Liability Agreement Template

The undersigned participant of the applied improvisational exercises classes

(e.g., Tearing Down Walls and Building Bridges), agrees to be responsible for their own conduct and actions during the class and releases

 

(organization and facilitator names)

from any claims and demands that may occur during participation in the class or from incidents or accidents, held at

 

(location)

on this/these dates:

 

Furthermore, I agree to release

______________________________________________________________(organization) and its employees from any liability, which may arise from incidents or accidents involving myself, while on class premises, to the extent allowed by law.

This release of liability form will be valid for the date(s) of the class(es), per registration agreement.

 

(NAME-Please PRINT)

 

(signature)

 

(Date)

 

(email)

 

(mobile phone#)

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