Illinois Release of Liability
This Release of Liability is made effective as of the ______________ (date) by and between:
Releasor: _________________________________________ (Name)
Address: ________________________________________________
City/State/Zip: ___________________________________________
Releasee: ________________________________________ (Name/Organization)
Address: ________________________________________________
City/State/Zip: ___________________________________________
In consideration for being permitted to participate in the following activity:
___________________________________________________________ (description of the activity),
the Releasor agrees to the following:
- The Releasor acknowledges that the activity may involve risks and dangers, including, but not limited to, personal injury, property damage, and even death.
- The Releasor voluntarily assumes all risks associated with participation in this activity.
- The Releasor releases and discharges the Releasee from any claims, demands, or causes of action that may arise from participation in the activity.
- This release is binding on the Releasor’s heirs, executors, and assigns.
The Releasor has read this Release of Liability carefully and understands its contents. The Releasor is aware that this is a release of liability and a contract between the Releasor and the Releasee, and signs it of their own free will.
By signing below, the Releasor confirms they are at least 18 years old and legally competent to execute this Release of Liability.
Releasor Signature: _______________________________
Date: _______________
Witness Signature: _______________________________
Date: _______________