HOLD HARMLESS AGREEMENT

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HOLD HARMLESS AGREEMENT

HOLD HARMLESS AGREEMENT

Date: ________ Time: Location: ________________________

Name:

______________________________

CAP ID _______________ DOB:

_________

Address:

__________________________________

Emergency Contact: _______________ Relationship:

___

Observing Marine Corps Training and participating in Marine Corps activities is a

valuable social and educational opportunity. Observing training and participating in Marine

Corps activities involve potential risks. These risks include scenarios that are set into place

because of faulty equipment and/or negligent or grossly negligent acts of agents or agencies of

the United States. Examples of these risks include, but are not limited to; slipping, falling, cuts

and abrasions, damage or injury caused by military ordnance and projectiles, discomfort caused

by loud noises, collateral damage/injury cause by aviation or ground mishaps, and

injuries/mishaps that may occur while riding in a government tactical or non-tactical vehicle (e.g.

government van, 7-ton truck, Assault Amphibious Vehicle, HUMVEE, MRAP and/or Light

Armored Vehicle.) I understand these risks create the possibility of injury, to include permanent

painful, disfiguring, disabling injury, or death.

Further, in consideration for being permitted to take a flight as a passenger in an aircraft

operated by or on behalf of the United States Marine Corps and the United States government,

for myself, my heirs, executors and administrators, hereby waive and release all representatives

and employees of the U.S. Marine Corps, and the United States government, its officers,

employees, and agents from liability from any and all claims resulting in personal injury, illness,

death, and property loss arising from, but not limited to my status as a passenger in the flight

mentioned above. This release of liability includes, but is not limited to, claims based on

negligence, both passive and active, of the government arising out of my participation in the

above mentioned flight. I will not assign my rights through subrogation to my insurance

company so that my insurer may then proceed against the aforementioned parties, or any one of

them, to seek reimbursement for any medical bills incurred for treatment of injury, nor any

funeral costs in the event of death.

I understand and appreciate the inherent risks involved in flying as a passenger in a

military aircraft. I understand that the inherent risks include possible bodily harm, serious or

otherwise, to include death, dismemberment, broken bones, scratches, cuts, bumps, or bruises. I

also understand that in transporting me, the United States government is not acting as a common

carrier for hire and does not bear the liabilities attaching to that status. I assert that my

participation is voluntary and that I knowingly assume all risks inherent in flying in a military

aircraft. Furthermore, I attest that I will listen to the pilots and/or crew of the aircraft for any

instructions during the said flight. I further attest that I will follow all instructions and/or

directions given to me by the pilots and/or crew of the aircraft.

Page 1 of 2


In consideration for observing Marine Corps training, and participating in Marine Corps

activities, I agree to indemnify and hold harmless the United State, the Marine Corps, and any of

their partners, agents, employees, service members, and agencies from liability arising from

observing this activity. I also agree to indemnify and hold harmless the United States

government, its officers, agents, and employees from any and all claims, actions, suits, costs,

expenses, damages, and liabilities, including attorney’s fees, brought as a result of my

participation in said flight or flights, as well as any ground and flight operation incident to the

actual flight or flights, and to reimburse them for any such expenses incurred.

I consent to relieve the United States, the Marine Corps, and any of their partners, agents,

employees, service members, and agencies from any duty of care they may owe me. I assume

the risks, to include injury or death, that are inherent in observing and participating in Marines

Corps activities. I agree that neither the United States, nor the Marine Corps, nor any of their

partners, agents, employees, service members, and agencies will protect me against any of the

risk inherent in observing and participating in Marine Corps activities. I am aware of these risks

and I am voluntarily encountering those risks. I will never pursue/prosecute or assist in

pursuing/prosecuting any civil action against the United States, the U.S. Marine Corps, or any of

their partners, agents, employees, or agencies for any liability arising from any claim arising

from observing or participating in Marine Corps Activities. I further expressly agree that the

foregoing waiver and assumption of risks is intended to be as broad and inclusive as applicable

law allows, and that if any portion thereof is held invalid, I agree that the balance shall,

notwithstanding, continue in full legal force and effect

I hereby authorize emergency medical treatment in the event of injury or illness. I also

authorize trained health care providers, including, but not limited to physicians, nurses, nurse

practitioners, and hospital corpsmen, to administer routine and/or emergency medicines and

treatments, as needed.

I know that consulting an attorney before reaching this agreement is prudent. I have had

a full and fair opportunity to consult an attorney about this agreement, and I waive further advice

of counsel.

This agreement is binding on all persons and entities claiming by, through, for, or on

account of their relation to me, including but not limited to my heirs, successors, and assigns.

I sign this agreement voluntarily of my own free will. No one has forced or coerced me

in any way to sign this agreement.

_____________________________

Participant Signature

(Parent or Guardian if under 18 yrs of age)

___________________________

Witness Signature

_____________________________

Participant Printed Name

(Parent or Guardian if under 18 yrs of age)

___________________________

Witness Printed Name

Date: ________________________

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Date: ______________________

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