CERT Program of Kirkland, WA

Participation Agreement


I,                                                                                     , hereby request permission to participate in  the Kirkland Community Emergency Response Team Program (“the Program”).  I understand that this Program will involve active physical participation, which includes a potential risk of personal injury and/or personal property damage. I make this request with full knowledge of the possibility of personal injury and/or personal property damage.


I agree to follow the rules established by the instructors, and to exercise reasonable care while participating in the Program.   I understand that if I fail to follow instructor rules and regulations or if I fail to exercise reasonable care, I may be removed from the Program.


In consideration for the opportunity to participate in the Program, as evidenced by my signature below, I hereby for myself, my heirs, executors, assigns and personal representatives, waive and release any and all rights and claims for damages I now or may hereafter have, whether now known or unknown, against the City, its instructors, officers, officials, employees and volunteers, for any injuries and damages suffered in connection with my participation in the Program.


To the extent allowed by law, I further agree to defend, indemnify  and  hold  harmless  the  City,  its  instructors, officers, officials, employees and volunteers from and against  any  and  all  claims,  suits,  actions,  or  liabilities  for injury or death of any person, or for loss or damage to  property,  filed  against  the  City  its  instructors,  officers, officials, employees, or volunteers, which arise out of my participation in the Program, except only such injury or damage as shall have been occasioned by the sole negligence of the City.


By executing this Agreement, I certify that I have read this document in its entirety, understand all of its terms, have had any questions regarding it satisfactorily answered and I sign it freely and voluntarily.


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