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Rest Area Activities Program Safety Release

I,  A MEMBER OF THE , do hereby release and discharge the state of Idaho, the Idaho Transportation Board, the Idaho Transportation Department, and their officers, agents, and employees from all claims, demands, and causes of action of every kind whatsoever for any damages and/or injuries which may result from my participation in the rest area activities program and other voluntary activities on or near the highway rights-of-way.

I further agree to hold harmless the state of Idaho, the Idaho Transportation Board, the Idaho Transportation Department, and their officers, agents, and employees from liability for an damages or injuries resulting from any negligence or willful wrongdoing on my part during my participation in said voluntary activities on or near the highway rights-of-way.

Name

Address

All participants under the age of (18) must have a separate Release Form signed by their parent or guardian. Signed Release Forms must be returned to the ITD prior to participation in the Program.

Page Last Modified: 5/22/2006 4:21:21 PM

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Idaho Transportation Department
3311 W. State Street ยท P.O. Box 7129
Boise, ID 83707-1129