214 Center Grove Rd., Randolph, NJ 07869

Hold Harmless and Indemnification Agreement

Event / Date

The Participant agrees to indemnify and hold harmless the County College of Morris (CCM), its board members, its administrators, its faculty, its employees, its volunteers and its agents from and against any and all demands, claims, suits, causes of action, bodily injuries, property damages, losses, penalties, and/or expenses, including attorney's fees, arising out of or resulting from any and all actions, accidents and events caused by or incurred by the Participant in connection with participation in the Event listed above.  

The Participant agrees to assume the entire responsibility and liability for all damages or injuries to himself/herself and all other persons and to all property, arising out of the Event or in any manner connected with the County College of Morris due to his/her acts, negligence or alleged negligence and to the fullest extent permitted by law, the Participant shall defend and indemnify the County College of Morris, its board members, its administrators, its faculty, its employees, its volunteers and its attorneys and agents from all such claims and Participant further agrees to pay all damages and costs resulting from such a claim including reimbursement to the College.  

The Participant agrees to notify the CCM of any health or physical concern before the date of the Event. Examples include but are not limited to allergies to bee-stings or plants, pregnancy, motion sickness, or disabilities that might prevent physical activity. In some instances, CCM may require a physician's letter confirming the Participant's clearance to participate in the activity.  

This release confirms Participant's understanding that his/her participation in this activity is on an individual basis, at Participant's own risk, for Participant's personal benefit, and that Participant is solely responsible for his/her well-being and personal property. The terms of this release shall be binding on Participant's heirs, executors, administrators and assignees.  

Participant's signature below signifies that he/she has read this form and understands the terms of the agreement. Participant agrees to abide by CCM's Student Code of conduct and the CCM's policies and procedures as a participant.  

Participant Name

Phone Number

Participant Status:  

If Participant is a Minor:

Legal Guardian Full Name:

Legal Guardian Full Address:

CERTIFICATION:   I certify that I am 18 years of age or older. The foregoing is submitted in consideration of CCM allowing my participation in the Program. I execute this document with full knowledge of the contents and consequences stated in this Hold Harmless and Indemnification Agreement.


Office of Campus Life
Student Community Center, Room SCC 226