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__________________
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BY SIGNING THIS DOCUMENT YOU ARE WAIVING CERTAIN LEGAL
RIGHTS. GROUP / CLASS: _______________________ DATE: _______________________ Leader Responsible for Group:
____________________________________________ NUMBER IN GROUP: ______________ TIME IN: __________ TIME OUT: ___________ In consideration of
Eastman Chemical Company, Texas Operations permitting the Group/Class,
hereafter collectively referred to as "PARTICIPANT" to enter its Nature and
Wildlife Habitat Center, hereafter referred to as "ACTIVITY," I hereby
release Eastman Chemical Company, Texas Operations, its directors, agents,
employees, shareholders, and officers from all claims, demands, suits,
causes of action, or judgments which I or anyone in my Group/Class ever had,
now have, or may have in the future or which my or my Group/Class' heirs,
executors, administrators, or assigns may have, or claim to have against
Eastman Chemical Company, Texas Operations, its directors, agents,
employees, shareholders, or officers, arising out of or in any way connected
with the ACTIVITY, for all personal injuries, known or unknown, property
damages, or claims for wrongful death, caused by the ACTS, OMISSIONS OR
NEGLIGENCE of Eastman Chemical Company, Texas Operations, its directors,
agents, employees, shareholders, officers, or any other party while on
Eastman Chemical Company, Texas Operations' property. I, Leader of the
Group/Class further agree that if any Participants are under the age of
eighteen (18) years old, I assume responsibility for such Participants and
have authority and do hereby execute this Agreement on their behalf.
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| 1. _________________________________ | 14. _________________________________ | |||
| 2. _________________________________ | 15. _________________________________ | |||
| 3. _________________________________ | 16. _________________________________ | |||
| 4. _________________________________ | 17. _________________________________ | |||
| 5. _________________________________ | 18. _________________________________ | |||
| 6. _________________________________ | 19. _________________________________ | |||
| 7. _________________________________ | 20. _________________________________ | |||
| 8. _________________________________ | 21. _________________________________ | |||
| 9. _________________________________ | 22. _________________________________ | |||
| 10. _________________________________ | 23. _________________________________ | |||
| 11. _________________________________ | 24. _________________________________ | |||
| 12. _________________________________ | 25. _________________________________ | |||
| 13. _________________________________ | 26. _________________________________ | |||
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Visitors will be required to sign this document prior to
entering the Center. If an individual(s) is responsible for a class or group
of young people (under 18 years old), then this individual(s) should
complete this form and sign this document on behalf of the class or group as
Approved form to be returned to Eastman Security at Main Guard Gate. DOWNLOAD FORM (PDF file) |
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