Waiver And Assumption Of Risk

For and in consideration of being allowed to use the Facilities and/or Grounds of Stevensville School District I do hereby agree, [on behalf of the organization], to indemnify, release and hold harmless the Stevensville School District, inclusive of its employees, administration, board of trustees, and insurers form any and all civil liability involving any and all forms of injury except those that may arise as a result of willful, wanton or reckless conduct by Stevensville School District or its agents adding unwarranted danger to participation in such event.

I understand that the Stevensville School District will take all reasonable precautions to insure the risk of injury to individuals accessing the facilities or grounds is minimized.  However, even though these precautions are taken there is still a chance of injury, and in rare instances even severe injury and death.  I have been informed and understand the risks involved.

The School District

Dated this ____ day of _____________, 20 _____

Stevensville School District: Requesting Organization or Individual

By: ________________________________       By: ____________________________

Address: ________________________

Phone: __________________________