GENERAL RELEASE OF LIABILITY

I. THE PARTIES. This General Release of Liability (“Release”) is made this  ______________________, 20____ is by and between:

Releasor: ______________________ with a mailing address of  

____________________________________________ (“Releasor”), and

Releasee: ______________________ with a mailing address of  

____________________________________________ (“Releasee”).

II. LIABILITY EVENT. Under the terms of this Release and sufficiency of which is  hereby acknowledged, the Releasor hereby releases and forever discharges the  Releasee of: __________________________________________________ (“Liability”).

THEREFORE under the terms of this Agreement and sufficiency of which is hereby  acknowledged, do hereby release and forever discharge the Releasee including their  agents, employees, successors and assigns, and their respective heirs, personal  representatives, affiliates, successors and assigns, and any and all persons, firms or  corporations liable or who might be claimed to be liable, whether or not herein named,  none of whom admit any liability to the undersigned, but all expressly denying liability,  from any and all claims, demands, damages, actions, causes of action or suits of any  kind or nature whatsoever, which now have or may hereafter have, arising out of or in  any way relating to any and all injuries and damages of any and every kind, to both  person and property, and also any and all injuries and damages that may develop in the  future, as a result of or in any way relating to the Liability.

III. PAYMENT. As part of this Release, the Parties agrees to: (check one) ☐ - No payment by the Releasee to the Releasor.

☐ - A payment of $__________________ by the Releasee to the Releasor.

It is understood and agreed that this Release is made and received in full and complete  settlement and satisfaction the causes of action, claims and demands mentioned  herein; that this Release contains the entire agreement between the Releasor and  Releasee; and that the terms of this Release are contractual and not merely a recital.  

IV. BINDING EFFECT. This Release shall be binding upon the undersigned, and his  respective heirs, executors, administrators, personal representatives, successors and  assigns.  

Releasor’s Signature: _________________________________ Date ______________ Print Name: _________________________________

Releasee’s Signature: _________________________________ Date ______________ Print Name: _________________________________

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