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Assumption of Risk Agreement and Release

  1. City Seal for Press Releases -VECTOR.jpg

  2. ASSUMPTION OF RISK AGREEMENT AND RELEASE

    (Special Events)

  3. (describe special event)

  4. (specify date of dates of use),

  5. I agree to assume all responsibility for, and to assume all risk of, any personal injury to me, or damage to my property, and to any member of my organization or group, while on or about the public right-of-way or other property owned or controlled by the City of Bristol, Tennessee in connection with the event.

  6. I hereby release, discharge, and hold harmless the City of Bristol, Tennessee, its officers, agents and employees, from any and all claims and liability for any injuries or damages that may be sustained by me, and to any member of my organization or group, while on or about the public right-of-way or other property owned or controlled by the City of Bristol, Tennessee in connection with the event.

  7. I agree to comply with all applicable rules, regulations and directives of the City of Bristol, Tennessee regarding the event and my use of the public right-of-way.

  8. Note: To be used for temporary special events on public right-of-way or city property such as "roadblocks", vendor stands, etc.

  9. Leave This Blank:

  10. This field is not part of the form submission.