Samsung logo 1                                                                                                                                                   Samsung logo


Waiver of Liability and Hold Harmless Agreement

In an effort to provide robust wellness programs for all employees, Samsung Electronics America, Inc. and Samsung Research America, Inc. ( collectively “Company”) sponsors various health and wellness activities, including but not limited to, onsite/offsite fitness exercise classes, sports teams, field day events, special events, medical service events (i.e. health fairs, biometric screenings, influenza vaccinations, chair massage)and wellness challenges. We applaud your commitment to your health and participation in these activities. To ensure the safety and well-being of all employees, we request your consent as follows.

I have been cleared by my medical health professional to take part in the activity. I have no physical restrictions that would prevent me from participating in this wellness event. I am fully aware of the risks and hazards connected with the participation in this event, including physical injury or even death, and herby elect to voluntarily participate in said event, knowing that the associated physical activity may be hazardous to me and my property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OR LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or loss or damage to property owned by me, as a result of my participation.

I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE the Company., Cigna, EXOS, and all other health and wellness associated program vendors in their entirety, their officers, servants, agents, and employees (hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in physical activity, or while on or upon the premises where the event is being conducted.

It is my expressed intent that this release and hold harmless agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVE, DISCHARGE, and CONVENTION TO SUE the above named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be constructed in accordance with applicable state laws.

In signing this release, I acknowledge and represent that I HAVE READ THE FORGOING Waiver of Liability and Hold Harmless Agreement, UNDERSTAND IT AND SIGN IT VOLUNTARILY as my own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreements have been made; and I EXECUTE THIS RELEASE FOR FULL, ADEQUATE AND COMPLETE CONSIDERATION FULLY INTENDING TO BE BOUND BY SAME.

Featured In: