Release executed on _________ (date), by _________________ (name), of ____________________ (address), here referred to as releasor, to ___________ (name), of ______________ (address), here referred to as releasee.
I, releasor, being of lawful age, in consideration of being permitted to participate in _______________ (nature of activity), do for myself, (if applicable, state: _________ (name of spouse), my spouse,) my heirs, executors, administrators and assigns, hereby release and forever discharge ____________ (enumerate releasees), their heirs, administrators and executors, successors and assigns, of and from any and every claim, demand, action or right of action, of whatever kind or nature, either in law or in equity arising from or by reason of any bodily injury or personal injuries known or unknown, death or property damage resulting or to result from any accident that may occur as a result of my participation in __________ (nature of activity) or any activities in connection with ________________ (nature of activity), whether by negligence or not.
I further release all ___________________ (officials and professional personnel) from any claim whatsoever on account of first aid, treatment or service rendered me during my participation in _________ (nature of activity).
This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.
Releasor further states that _____________ (he or she) has carefully read the foregoing release and knows the contents thereof and signs this release as __________ (his or her) own free act.
In witness whereof, releasor has executed this release at ____________ (designate place of execution) the day and year first above written.