MADISON COMMUNITY CENTER

USER GROUP

HOLD HARMLESS AGREEMENT

The undersigned is aware that there are certain inherent risks involved in participating in programs and activities at the Madison Community Center, including but not limited to the risk of theft or of damage to my property, and the risk of personal injury from participating in aerobic, weightlifting, boxing, volleyball, basketball, table tennis and any other games, sports, fitness, and recreation activities. In consideration of my being granted permission to participate in this activity and to use the facilities and/or other activities and services provided by the Arlington County Department of Parks, Recreation and Community Resources, its agents and employees, including food services, I, on behalf of myself, my executors, administrators, heirs, next of kin, and successors, hereby covenant to hold harmless and indemnify the County and all of its officers, departments, agencies, agents and employees from any and all claims, losses, damages, injuries, fines, penalties and costs (including court costs and attorney’s fees), charges, liabilities, or exposures, however caused, resulting from, arising out of, or in any way connected to my or my family’s participation in the above described program. I have read and understand this HOLD HARMLESS AGREEMENT and by my signature agree to its terms.

I, ___________________________________________, have read and understand this HOLD HARMLESS AGREEMENT and by my signature agree to its terms.

Date: ______________________________

Signature: ________________________________________________