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1. Title and Date: Clear identification of the document as a Waiver of Liability Statement Form and the effective date
2. Parties: Full identification of the party granting the waiver (Releasor) and the party receiving the waiver (Releasee), including complete names, addresses, and any relevant identification numbers
3. Recitals: Background information explaining the context and purpose of the waiver, including the activities or services involved
4. Definitions: Clear definitions of key terms used in the waiver, including 'Activities', 'Liability', 'Claims', etc.
5. Acknowledgment of Risks: Detailed acknowledgment of the risks, dangers, and hazards associated with the activities covered by the waiver
6. Waiver and Release: Express statement of waiver and release of claims, clearly outlining what rights are being waived and the extent of the release
7. Voluntary Assumption of Risk: Statement confirming that the Releasor voluntarily assumes all risks associated with the activities
8. Representations and Warranties: Statements confirming the Releasor's capacity to enter into the agreement and understanding of its terms
9. Governing Law: Specification that the waiver is governed by Philippine law and reference to relevant jurisdictional matters
10. Execution: Signature blocks, witness requirements, and date of execution
1. Medical Authorization: Authorization for emergency medical treatment if the activities involve physical risks or take place in remote locations
2. Photo/Media Release: Additional waiver for use of photographs or media recordings, if relevant to the activities
3. Parental Consent: Required when the Releasor is a minor, including additional representations and warranties by the parent/guardian
4. Insurance Acknowledgment: Statements regarding insurance coverage and responsibilities for obtaining necessary insurance
5. COVID-19/Health Protocols: Specific provisions related to health risks and compliance with health protocols, particularly relevant during pandemic conditions
6. Equipment Use: Specific provisions regarding use of equipment or facilities, if applicable to the activities
1. Schedule A - Description of Activities: Detailed description of all activities, services, or events covered by the waiver
2. Schedule B - Specific Risks: Comprehensive list of specific risks, dangers, and hazards associated with the activities
3. Schedule C - Safety Protocols: List of safety procedures, requirements, and protocols that must be followed
4. Appendix 1 - Emergency Contact Information: Form for emergency contact details and relevant medical information
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