HOLD HARMLESS AGREEMENT



PRE-EMPLOYMENT HOLD HARMLESS AGREEMENT FOR U.S. MARINE CORPS POLICE OFFICER PROGRAM

(Waiver and Release from Liability)

THIS FORM MUST BE READ AND SIGNED PRIOR TO THE BEGINNING OF THE COURSE.

I, ___________________________________________ (PRINT LEGIBLY) hereby voluntarily execute of my own free will this release, waiver and indemnification for myself and my heirs, successors, representatives and assigns; and hereby agree and represent as follows:

1. I understand that there are various risks involved with my participation in the U.S. Marine Corps Physical Agility Training/Testing (PAT)/SRT INDOC (which includes a Marine Corps Physical Fitness Test) conducted by the US Marine Corps and or their agents. I further understand that these risks may include, but are not limited to, faulty or improperly used equipment, injuries caused by terrain, weather, my personal physical condition, vehicles, other participants, and/or lack of hydration.

2. In consideration of the opportunity to participate in the PAT/SRT INDOC, I hereby assume any and all risks associated with this event and shall indemnify, waive, release, and forever discharge the Department of the Navy (DON), or any other DON officers, officials or employees and the United States Marine Corps and its organizations, their employees, agents, officials, representatives and those governmental agencies and other organizations connected in any way with this event, from any and all liability and claims for damages, loss, costs, claims and/or causes of action, including but not limited to death, personal injury or property damage and litigation costs/attorneys' fees arising out of participation in the PAT/SRT INDOC referred to above arising from or contributed to, in whole or in part, by any act, omission, fault or mistake of the organization conducting the PAT as well as the above-named Government persons or entities and their employees or agents, resulting from my participation in this event. This waiver and release shall be binding on my heirs and assigns and shall run in favor of the above-named persons or entities and any individuals in any way connected with the aforementioned event.

3. The undersigned further agrees to indemnify the above identified organizations and individuals, agents, officials, representatives and those governmental agencies and other organizations affiliated with this event, and hold them harmless for any liability, loss, damage, cost, claim, judgment or settlement which may be brought or entered against them as a result of the undersigned’s participation in said event. This indemnification shall include attorney’s fees incurred in defending against any claim or judgment and incurred in negotiating any settlement. It is understood and agreed that the undersigned shall have the opportunity to consent to any such settlement, provided, however, that such consent shall not be unreasonably withheld.

4. The undersigned understands that participation in the PAT/SRT INDOC activity requires physical stamina, motor coordination and mental alertness and hereby assumes full responsibility for and risk of bodily injury, death or property damage. The undersigned hereby attests that he/she has no known physical or mental limitations that would impair their ability to safely participate in the PAT/SRT INDOC and has not used any form of alcohol, prescription or non-prescription drugs that could impair his/her performance in this course. It being specifically understood that said course includes physical exertion in an outdoor environment designed to test my suitability to be a Marine Corps Police Officer, which includes assignment of Special Reaction Team tasks.

5. The undersigned understands that the PAT/SRT INDOC is a prerequisite to being considered for employment as a Federal Police Officer, but that no aspect of the employment application or pre-employment processes confers any Federal rights or benefits upon me including any eligibility for workman's compensation coverage (FECA) in case of injury incurred during the PAT/SRT INDOC or while aboard Federal property.

I HAVE CAREFULLY READ THIS RELEASE AND UNDERSTAND ITS CONTENTS. I further agree that no oral representations, statements or inducements apart from the forgoing written agreement have been made.

Signature:_______________________________ Date:_________________________

Witness:_________________________________ Date:_________________________

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