Chicago Woodturners Hold Harmless Agreement
First Name
Last Name
Email
*
Contact Phone Number
Contact Phone Number
-
###
-
###
####
Date of Activity
Date of Activity
/
MM
/
DD
YYYY
Activity
*
Activity
Hands On Class
Mentoring Session
Demonstration
Other
Instructor
Hold Harmless Agreement
In consideration of my participation in the class or activity sponsored by the Chicago Woodturners, I hereby release and discharge its members, instructors, officers, Christian Liberty Academy, Chicago School of Woodworking LLC, their successors and assigns, (“released parties”) from any claims or demands for injury to my person or property, resulting from my participation. I am assuming full responsibility for all risks of injury to my person or property associated with participating in this club sponsored activity by reason thereof.
Use your pointing device to draw your signature into the box below.
*
Draw
or
Type
Clear
Full Name
Date Submitted
Date Submitted
/
MM
/
DD
YYYY