INDIVIDUAL LIABILITY RELEASE FOR COMMUNITY SERVICE ACTIVITIES SPONSOR: ________________________________________________________ I, ________________________________________ hereby release the County of Benton, its employees, agents, and representatives, from any claim for damages or personal injury to myself or damage to any property owned by me as a result of my performing community services activities on projects owned or controlled by the County of Benton.
Dated this _________ Day of ______________________, 20___. ______________________________________
Signature ______________________________________ Address ______________________________________
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