University of Central Oklahoma
Department of Funeral Service

FNRL 4118 Practicum in Embalming & Funeral Directing

Hold Harmless and Indemnification Agreement

  I __________________________________, hereby assume all liability and hold harmless
 ____________________________________ Funeral Home, its officers, agents, employees, the University of
Central Oklahoma, its faculty, staff, and administrative personnel from any and all injuries, present and future, arising
from my participation the practicum course(FNRL 4118) taken as a course requirement at the University of Central Oklahoma.

  I agree that I will be solely responsible for my own safety and I will abide by any safe work place practices as required
by the Occupational Safety and Health Administration and any other safety regulations promulgated by any other federal
or state administrative agency, state or federal regulations or statutes.

  I agree to indemnify and hold harmless all aforesaid parties from any claims, suits, or causes of action, including reasonable
attorney’s fees for the defense therefore arising out of my participation in any practicum activity or any other activity associated
with my practicum experience.

 

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Student’s Signature



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Print Name

 

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Date



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Witness



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Date