Hold Harmless Agreement

General Release of Liability

Hold Harmless Agreement

Leu Civic Center, Inc.

A United Way Agency

213 N. Market Street

Mascoutah, IL 62258

(618) 566-2175


I, ___________________________, of __________________________________ City of, ___________________________, State of _________________________ (Hereafter the “Releasor”) do hereby release and forever discharge Leu Civic Center, Inc., of 213 N. Market St., Mascoutah, IL 62258 (Hereafter the “Releasee”) including their agents, employees, volunteers, successors and assigns, and their respective persons, firms or corporations liable or who might be claimed to be liable, whether or not herein named, none of whom admit 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 I 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 volunteer service.

It is understood and agreed that this Agreement is made and holds the Releasee harmless for any causes of action, claims and demands and that the terms of this Agreement are contractual and not merely a recital. Furthermore, this Release shall be binding upon the undersigned, and his respective heirs, executors, administrators, personal representatives, successors and assigns. This Release shall be subject to and governed by the laws of the State of Illinois.

This Release has been read and fully understood by the undersigned and has been explained to me.

Signature: _____________________________________ Date: ________________

Print name: ____________________________________