INFORMED CONSENT, RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

By signing this document you will waive certain legal rights, including the right to sue. PLEASE READ CAREFULLY
INFORMED CONSENT FOR PARTICIPATION 1. I am aware that activities conducted during the Walking Competition involve some risks including risk of personal injury, death, property damage, expense and related loss, including loss of income. Included in these risks are negligence on the part of the Central Ohio Transit Authority, its directors, officers, officials and employees. I freely accept and fully assume all such risks and the possibility of personal injury, death, property damage, expense and related loss, including any loss of income. RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT In consideration of the Central Ohio Transit Authority accepting my enrollment forms to participate in the Walking Competition, I expressly agree: 1. That all Walking Competition activities shall be undertaken at the employees sole risk, and Central Ohio Transit Authority, its directors, officers, officials and employees (hereinafter collectively referred to as COTA) shall not be liable for any injuries or any damage to any employee, or the property of any employee, or be subject to any claim, demand, injury or damages whatsoever, including, without any limitation, those damages resulting from acts of active or passive negligence on the part of COTA. The employee and on behalf of his/her executors, administrators, heirs, assigns and successors, does hereby expressly forever release and discharge COTA from all such claims, demands, injuries, damages, actions or causes of actions. 2. To waive any and all claims that I may have in the future against COTA. 3. To hold harmless and indemnify COTA from any and all liability for any damage to property of, or personal injury to, any third party, resulting from my participation in this activity. 4. That this agreement is binding on not only myself but my next of kin, heirs, executors, administrators and assigns. I HAVE READ THIS AGREEMENT AND UNDERSTAND IT. I AM AWARE THAT BY SIGNING THIS DOCUMENT I AM WAIVING CERTAIN RIGHTS WHICH I OR MY NEXT OF KIN, HEIRS, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST COTA.

__________________________________________________________ Signature

__________________________________________________________ Print Name Signed this ___________ day of ____________________________________, 20____.