The undersigned, being at least eighteen (18) years of age, and in consideration for acceptance, approval, and participation in the Civilian Ride-Along Program (the “PROGRAM”), sponsored by Vanderburgh County (the “County”) and the Vanderburgh County Sheriff’s Office (the “Sheriff’s Office”), does hereby agree to this waiver and release agreement (the “Agreement”).
I recognize that the PROGRAM will involve physical activity and may carry a risk of personal injury, and may cause me physical or emotional discomfort. I further recognize that there are natural and man-made hazards, environmental conditions, diseases, and other risks, which in combination with my actions in the PROGRAM, can cause injury to me. I hereby agree to assume all risks which may be associated with or which may result from my participation in the PROGRAM. I state that I am free from any known health conditions that could prevent me from participating in any of the activities associated with the PROGRAM. I further state that I am sufficiently physically fit to participate in the activities of this program.
I certify that at all times, I shall have medical insurance to cover the cost of any medical care, emergency or otherwise, that I may receive for any illness or injury created by my participation in the PROGRAM. In the event I fail to have medical insurance, I certify that I will be personally responsible for the cost of any medical care, emergency or otherwise, that I receive.
I further agree to release, indemnify and hold harmless the County and the Sheriff’s Office, their agencies, departments, officers, employees, agents, representatives, affiliates, directors, servants, volunteers, members, sponsors, and/or officials, and staff from any such entity or person, their representatives, agents, affiliates, directors, servants, volunteers, and employees from the costs of any medical care that I receive while participating in the PROGRAM or as a result of it.
I further agree to release, indemnify, and hold harmless the County and the Sheriff’s Office, their agencies, departments, officers, employees, agents, representatives, affiliates, directors, servants, volunteers, members, sponsors, and/or officials, and staff of any such entity or person, their representatives, agents, affiliates, directors, servants, volunteers, and employees from any and all liability, claims, demands, actions, and causes of actions whatsoever for any loss, claim, damage, injury, illness, attorneys fees or harm of any kind or nature to me arising out of any and all activities associated with my participation in the PROGRAM.
I further agree to release, indemnify, defend, and hold harmless the above-mentioned entities and representative officials from all liability, negligence, or breach of warranty associated with injuries or damages from any claim by me, my family, estate, heirs or assigns from or in any way connected with my activities in the PROGRAM.
I further agree to indemnify, defend and hold harmless, and do hereby release the above-mentioned entities and representative persons from all liability, negligence or breach of warranty associated with injuries or damages caused by my participation in the PROGRAM to any third party(ies).
I HAVE CAREFULLY READ AND UNDERSTAND THE CONTENTS OF THE AGREEMENT AND STATE THAT THE CONTENTS OF THIS AGREEMENT HAVE BEEN FULLY EXPLAINED TO ME. I DO HEREBY CERTIFY, STATE AND ACKNOWLEDGE THAT I AM NOT UNDER THE INFLUENCE OF ALCOHOL OR ANY MIND-ALTERNATING SUBSTANCE WHATSOEVER, FREE OF ANY DURESS OR COERCION AND VOLUNTARILY, KNOWINGLY AND WILLINGLY EXECUTE THE AGREEMENT INTENDING IT TO COVER MY PARTICIPATION IN THE PROGRAM SPONSORED BY THE CITY AND DEPARTMENT.
