Employee Goosechase Teambuilding

Employee Waiver and Release For Participation in Goosechase Teambuilding Program

Village of Fox Lake – Employee Waiver and Release

For Participation in Goosechase – December 9 – December 30, 2021

Name of Employee: __________________________________________________

1. Employee Participation Optional: The Village of Fox Lake offers educational and recreational programs for employees during employee unpaid meal breaks, commonly referred to as “lunch and learns” or other programming and team building activities. Attendance at these programs is voluntary and not part of the job duties as an employee or expectations of employment.

2. Warning of Risk: Despite careful and proper preparation of programs, facilities, and instruction, there is still a risk of injury when participating in any program. Understandably, not all hazards and dangers can be foreseen. Participants must understand that, depending upon the program, certain risks, dangers and injuries due to acts of God, inclement weather, slipping, falling, inadequate or defective equipment, failure in supervision or instruction, premises defects, horseplay, carelessness, lack of skill or technique, and all other circumstances inherent to a particular program exist. In this regard, it must be recognized that it is impossible for the Village to guarantee absolute safety.

Please read this form carefully and be aware that you will be expressly assuming the risk and legal liability of participating in the program, and waiving and releasing all claims for injuries, damages or loss which you may sustain as a result of any and all activities connected with the program.

3. Assumption of Risk: I understand that the Village of Fox Lake does not require me to participate in this activity. I recognize and acknowledge that there are certain risks of physical injury to participants in this program, and I voluntarily agree to assume the full risk of any and all injuries, damages, or loss, regardless of severity, that I may sustain as a result of said participation.

4. Waiver and Release of All Claims: In consideration of being able to participate in the program, I hereby release, waive, and covenant not to sue the Village of Fox Lake with respect to any liability, claim, demand, cause of action, damage, loss, or expense (including court costs and reasonable attorneys’ fees) of any kind or nature which may arise out of, result from, or relate in any way to my participation in the program, including claims for liability caused in whole or in part by the negligent acts or omissions of the parties released hereunder.

5. Waiver Binding on Members of Family and Spouse: In consideration of being able to participate in the program, it is my express intent to hereby bind my family, and, if I am alive, and my heirs, and my assigns, and personal representative, if I am deceased, to release, waive, and covenant not to sue the Village of Fox Lake, its elected and appointed officials, officers, employees, and agents with respect to any liability, claim, demand, cause of action, damage, loss, or expense (including court costs and reasonable attorneys’ fees) of any kind or nature which may arise out of, result from, or relate in any way to my participation in the program, including claims for liability caused in whole or in part by the negligent acts or omissions of the parties released hereunder.

6. Governing Law: I hereby further agree that this Waiver and Release shall be construed in accordance with the laws of the State of Illinois. Any portion of this document deemed unlawful or unenforceable is severable and shall be stricken without any effect on the enforceability of the remaining provisions.

I hereby warrant that I have read this Waiver and Release carefully, that I understand its terms and conditions, and that by continuing on to play the game I do so as my own free and voluntary act and agree to this Waiver and Release as my own free and voluntary act.

Employee Name (please print): _____________________ Date: __________________

Employee Signature: _________________________________