Hill School Facilities Use Waiver

Release of Liability and Assumption of Risk

The undersigned individual desires to participate in activities involving the indoor and outdoor facilities at Hill School, including but not limited to such facilities as the playground, walking trail, the indoor climbing wall, the athletic center and playing fields, and any other Hill School property. In consideration of The Hill School permitting me to participate in these activities, I have agreed to execute this Release of Liability and Assumption of Risks (the “Release”).

I acknowledge that participating in indoor and outdoor activities located on Hill School property may involve certain inherent risks, including the risk of death or serious personal injury. I agree to assume all such risks. I also agree to release and discharge The Hill School and all of its directors, officers, faculty, staff, employees, agents, and representatives, as well as all other persons, corporations or other entities that might have any liability to me (the “Released Parties”), from and against any and all damages, actions, claims and liabilities, whether known or unknown, anticipated or unanticipated, suspected or unsuspected, relating to or arising from any activity, occurrence or event involving the Hill School property. This release is intended to release and discharge the Released Parties from all damages, actions, claims, and liabilities of any nature, specifically including, but not limited to damages, actions, claims and liabilities arising from or related to the negligence of the Released Parties. Notwithstanding anything else contained in this release, the Released Parties shall be liable for any damages, actions, claims or liabilities caused solely by the gross negligence of the Released Parties. I further agree to indemnify, hold harmless and defend The Hill School from and against any loss, damage, liability and expense, including costs and attorneys’ fees, incurred by The Hill School as a result of my participating in indoor and outdoor activities on the Hill School property, except to the extent such loss, damage, liability or expense is caused solely by the gross negligence of the Released Parties.

The laws of the Commonwealth of Virginia shall govern the rights and obligations of the parties to this Release and the interpretations, construction and enforceability thereof. I agree that any lawsuit brought against any Released Parties shall be brought solely in the Circuit Court for Loudoun County, Virginia. I hereby voluntarily waive any right I may have to a trial by jury in any action, proceeding or litigation involving any Released Party.

THIS RELEASE IS A BINDING LEGAL CONTRACT

PLEASE READ IT CAREFULLY BEFORE SIGNING

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Date Participant

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TO BE SIGNED BY PARENT/GUARDIAN IF PARTICIPANT IS A MINOR

I represent that I am the parent or legal guardian of the above individual. I hereby consent to the individual participating in indoor and outdoor activities located on the Hill School property. In consideration for the Hill School allowing the above individual to participate in said activities, I agree, personally and on behalf of the individual, to be bound by the terms and conditions of this Release. I further agree to indemnify, hold harmless and defend the Hill School from and against any loss, damage, liability and expense, including costs and attorneys’ fees, that is incurred by the Hill School as a result of the above individual participating in indoor and outdoor activities involving the Hill School, except to the extent such loss, damage, liability or expense is caused solely by the gross negligence of the Released Parties.

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Date Parent or Guardian of Participant

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Street Address

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