Waiver-Printable
Poteau Fire Department Physical Agility Test Liability Waiver
IMPORTANT: THIS IS A LEGAL DOCUMENT. PLEASE READ CAREFULLY BEFORE SIGNING.
I, the undersigned, acknowledge that I am voluntarily participating in the Physical Agility Test administered by the Poteau Fire Department (hereinafter referred to as “the Department”). I understand that this test is designed to assess physical fitness and agility required for the role of a firefighter. I fully recognize and appreciate that participating in this test involves physical exertion and may include activities that could pose a risk of injury or health issues.
1. Assumption of Risk I acknowledge that I am aware of the inherent risks involved in participating in the Physical Agility Test, including but not limited to, physical injuries, strains, sprains, and other health conditions. I voluntarily assume all risks associated with my participation in the test.
2. Medical Clearance I affirm that I am in good physical condition and have no known medical conditions that would preclude my participation in the Physical Agility Test.
3. Waiver and Release In consideration of being allowed to participate in the Physical Agility Test, I, on behalf of myself, my heirs, executors, administrators, and assigns, hereby release, waive, discharge, and covenant not to sue the Poteau Fire Department, its officers, employees, agents, volunteers, and representatives (collectively referred to as “the Released Parties”) from any and all claims, demands, actions, or causes of action for any injury, loss, or damage to person or property, whether caused by negligence or otherwise, arising out of or in connection with my participation in the test.
4. Indemnification I agree to indemnify and hold harmless the Released Parties from any claims, damages, or expenses, including attorney’s fees, arising out of or resulting from my participation in the Physical Agility Test.
5. Acknowledgment of Understanding I acknowledge that I have read this waiver in its entirety and understand its contents. I understand that by signing this waiver, I am relinquishing certain legal rights and responsibilities. I voluntarily agree to the terms set forth in this waiver.
By signing below, I acknowledge that I have read, understood, and agree to the terms of this Liability Waiver.
Participant’s Name (Printed): ___________________________________
Participant’s Signature: ___________________________________
Date: ___________________________________
Emergency Contact Name: ___________________________________