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Liability Release Form <br /> j By signing below, I am acknowledging that by participating in this activity and the use of this <br /> facility carries a risk of personal injury. I release and discharge Thia Casanova, Image Attitudes, <br /> the City of Centerville, volunteers and employees from liability for injuries or damage, <br /> including any losses caused by the negligence or strict liability of the released parties. The <br /> i participants agree not to sue or make a claim against those agencies, and to hold hannless and <br /> indemnify them from all claims that may be brought as a result of the use of these programs, or <br /> ' facilities. <br /> 1. <br /> Participant or Guardian's Printed name <br /> Participant or Guardian's Signature Date <br /> 2. <br /> Participant or Guardian's Printed name <br /> Participant or Guardian's Signature Date I ' <br /> � <br /> � <br /> I <br /> 3. ! <br /> Participant or Guardian's Printed name I <br /> Participant or Guardian's Signature Date I � <br /> � <br /> i <br /> i <br /> 4. � <br /> Participant or Guardian's Printed name �, <br /> Participant or Guardian's Signature Date <br /> 5. <br /> Participant or Guardian's Printed name <br /> � Participant or Guardian's Signature Date <br /> � 6. <br /> Participant or Guardian's Printed name <br /> Participant or Guardian's Signature Date <br /> li <br />