Hold Harmless Application

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1. In consideration of Wisconsin Adopt a Golden Retriever Rescue, Inc., a Wisconsin nonstock corporation recognized as an organization described under Section 501(c)(3) of the Internal Revenue Code of 1986 (herein after referred to as WAAGR) providing me/us the opportunity to serve as a volunteer for the organization, the undersigned does/do hereby release, remise and forever discharge, indemnify and agree to HOLD HARMLESS, WAIVE, DISCHARGE, and COVENANT NOT TO SUE WAAGR, its officers, board of directors, volunteers and/or members, herein after referred to as RELEASEES, from any claim, demand or cause of action whether now in existence, or hereafter arising for any loss of personal property, illness, injury, or death, arising out of, or resulting from my participation in any WAAGR activity; or arising out of, resulting from, caused by, or contributed to in whole or in any part by any action or failure to act, negligence, breach of contract, or other misconduct on the part of WAAGR, its officers, board of directors, volunteers and members. This clause and the remainder of this agreement also includes a waiver of liability against any illness, injury, or death that may occur to my/our own pet(s) through my/our or their participation in any WAAGR activity. 2. I/We recognize and acknowledge that certain risks of harm are or may be inherent in the various activities involved in serving as a rescue volunteer and that WAAGR cannot control all of these risks. Additionally, I/we are aware that some animals can pose dangers to people and other animals. Such dangers may include, by way of example and not limitation, animals that can bite, trip, knock down, and fight. Further, indoor and outdoor surfaces can become slippery, equipment can trip other persons, and/or some may fail to control their dogs. Activities involving dogs may result in illness, injury, or damage to property. 3. It is my/our express intent that this Release and Hold Harmless Agreement shall bind the members of my/our family if I/we are alive, and my heirs, assigns and personal representative, if I/we are not alive. It shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above named RELEASEES. I/we hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Wisconsin. In the event any portion of this Agreement shall be deemed not in compliance with Wisconsin law, the remainder of the Agreement shall remain in effect and be legally binding. 4. I/we understand and agree that WAAGR will not be responsible for any medical or veterinary costs associated with any injury that I/we or my/our pets may sustain in connection with my/our participation in any WAAGR activity, including my/our serving as a foster home for a WAAGR dog. 5. I/We understand and agree that, in the event that I am a foster home for a WAAGR dog, WAAGR will not be responsible for any veterinary costs associated with my own animals becoming ill, being hurt, or otherwise injured, or killed as a result of said WAAGR dog being in my home, or elsewhere I may take the dog as part of my foster duties. 6. The forum and venue for all disputes arising out of or relating to this Agreement shall be the Waukesha County Circuit Court in the State of Wisconsin. IN SIGNING THIS RELEASE, I/we ACKNOWLEDGE AND REPRESENT THAT I/we have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my/our own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreement, have been made; I/we am/are at least eighteen (18) years of age and fully competent; and in the event there are persons under the age of eighteen (18) living in the household, I/we as their parent or legal guardian am/are also signing on their behalf. I/We execute this Waiver of Liability and Hold Harmless Agreement for full, adequate, and complete consideration fully intending to be bound by the same. Every adult eighteen (18) years of age or older residing in your home must print and sign below. Parents and/or guardians for anyone in their care under the age of eighteen (18) years of age by signing below are also signing on their behalf.