RELEASE OF LIABILITY
In exchange for participation in the activity of __Trimpers_ organized by the Autistic Children’s Support Group
of Worcester County, Inc. of P.O. Box 1322, Ocean Pines, MD 21811 and/or use of the property, facilities and
services of __Trimpers Rides of Ocean City, I agree for myself and
______________________________________________ (minor(s) – if applicable), to the following:
1. AGREEMENT TO FOLLOW DIRECTIONS. I agree to observe and obey all posted rules and warnings, and
further agree to follow any oral instructions or directions given by the Autistic Children’s Support
Group of Worcester County, Inc., or the employees, representatives or agents of Autistics Children’s
Support Group of Worcester County, Inc.
2. ASSUMPTION OF THE RISKS AND RELEASE. I recognize that there are certain inherent risks associated
with the above described activity and I assume full responsibility for personal injury to myself and (if
applicable) my family members, and further release and discharge the Autistic Children’s Support
Group of Worcester County, Inc. for injury, loss, illness, or damage arising out of my or my family’s use
of or presence upon the facilities of _Trimpers Rides of Ocean City, whether caused by the fault of
myself, my family, the Autistic Children’s Support Group of Worcester County, Inc. or other third
parties.
3. INDEMNIFICATION. I agree to indemnity and defend the Autistic Children’s Support Group of
Worcester County, Inc. against all claims, causes of action, damages, judgments, costs or expenses,
including attorney fees and other litigation costs, which may in any way arise from my or my family’s
use of or presence upon the facilities of __Trimpers 700 S Atlantic Ave, Ocean City, MD 21842____.
4. FEES. I agree to pay for all damages to the facilities of _Trimpers caused by any negligent, reckless, or
willful actions by me or my family.
5. CONSENT. I. ____________________________ of _____________________________________
consent to the participation of my _____________________________ (minor(s) if applicable) and
agree on behalf of the above minor to all of the terms and conditions of this Agreement. By signing this
Release of Liability, I represent that I have legal authority over and custody of
_____________________________________ (minor(s) – applicable).
6. MEDICAL AUTHORIZATION. In the event of an injury to the above minor during the above described
activities, if I am not available/present, I give my permission to the Autistic Children’s Support Group of
Worcester County, Inc. or to the employees, representatives or agents of ___Trimpers to arrange for
all necessary medical treatment for which I shall be financially responsible. This temporary authority
will begin on May 4th, 2025 and will remain effect until terminated in writing by the undersigned or
when the above described activities are completed. The Autistic Children’s Support Group of
Worcester County, Inc. shall have the following powers:
a) The power to seek appropriate medical treatment or attention on behalf of my child as may be
required by the circumstances, including without limitation, that of a licensed medical physician
and/or a hospital;
b) The power to authorize medical treatment or medical procedures in an emergency situation; and
c) The power to make appropriate decisions regarding clothing, bodily nourishment and shelter.
7. APPLICABLE LAW. Any legal or equitable claim that may arise from participation in the above shall be
resolved under Maryland law.
8. NO DURESS. I agree and acknowledge that I am under no pressure to sign this Agreement and that I
have been given a reasonable opportunity to review it before signing. I further agree and acknowledge
that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and
acknowledge that the Autistic Children’s Support Group of Worcester County, Inc. has offered to
refund any fees I have paid to use its facilities if I choose not to sign this Agreement.
9. ARM’S LENGTH AGREEMENT. This Agreement and each of its terms are the product of an arm’s length
negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of
this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application
of any legal or equitable rule of interpretation which would lead to a construction either “for” or
“against” a particular party based upon their status as the drafter of a specific term, language, or
provision giving rise to such ambiguity.
10. ENFORCEABILITY. The invalidity or unenforceability of any provision of this Agreement, whether
standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or
enforceability of any other provision of this Agreement or of any other applications of such provision,
as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of
this Agreement.
11. DISPUTE RESOLUTION. The parties will attempt to resolve any dispute arising out of or relating to this
Agreement through friendly negotiations amongst the parties. If the matter is not resolved by
negotiation, the parties will resolve the dispute using the below Alternative Dispute (ADR) procedure.
Any controversies or disputes arising out of or relating to this Agreement will be submitted to
mediation in accordance with any statutory rules of mediation. If mediation is not successful in
resolving the entire dispute or is unavailable, any outstanding issues will be submitted to final and
binding arbitration under the rules of the American Arbitration Association. The arbitrator’s award will
be final, and judgment may be entered upon it by any court having proper jurisdiction.
12. EMERGENCY CONTACT. In case of emergency, please call _____________________________
(Relationship: ____________________________) at _______________________ (day) or
______________ (evening).
I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS
RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.
Dated: _____________________________ Signature: ________________________________________