The undersigned, ____________________________________ (print full name) does hereby release and forever discharge __________________________(name of property owner) his/her/their/its successors, assigns and personal representatives from all manner of liability, responsibility, accountability, actions, lawsuits, proceedings, claims, and demands whatsoever for or on account of any actions or failures to act or defects or conditions of any kind whether such acts or, lack of acts or defects or conditions have already occurred or may hereafter occur. It being the intent hereof to release and forever and finally discharge completely __________________________ (name of property owner) as completely as if the undersigned had never entered the property owned by __________________________ (name of property owner).

______________________________ (seal)

Releaser