Waiver and Hold Harmless 2016

PRINT & SIGN THIS DOCUMENT, THEN MAIL OR EMAIL TO SOMERVILLE FD.

 

 

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      In Consideration of the acceptance by the Somerville Fire Dept. of the entry of the undersigned in the Somerville Fire Department's Holiday Parade to be held in the Borough of Somerville, NJ on Sat. Dec. 3, 2016, the undersigned does hereby remise, release, and forever discharge the said Somerville Fire Dept., the Borough of Somerville, NJ and their officers, representatives, successors or assigns of and from all and any manners of actions, cause of actions, suits, debts, trespasses, damage and injuries, which may be sustained to equipment or personnel as a result of its participation in activities in conjunction with the Somerville Fire Dept. Holiday Parade in the Borough of Somerville, NJ on Sat. Dec. 3, 2016 and does hereby further covenant and agree to hold harmless and defend and to indemnify and keep indemnified the Somerville Fire Dept., the Borough of Somerville, NJ and their officers, representatives, successors, or assigns and to hold and save them harmless from and against all claims and damages whatsoever as result of said participation.  

Representative's, signature___________________________________________

 

Name and Title:______________________________________  

 

Date:________________