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Have you ever been convicted of a misdemeanor or felony?
Whereas, I,
am about to participate in the Huber Heights Citizens Public Safety Academy hosted by the Huber Heights Police Division, Huber Heights, Ohio, and
Whereas, I am doing so entirely upon my own initiative, at my own risk, and upon my own responsibility.
Now therefore, in consideration of the Huber Heights Police Division, City of Huber Heights, Ohio, allowing me to participate in the Public Safety Academy and in consideration of said Police Division permitting me use of its facilities, I do hereby, for myself, my heirs, executors, and administrators, remise, release, and forever discharge the City of Huber Heights, Ohio, its employees, officers, council members, acting officially or otherwise, from any and all claims, actions, demands, or causes of action, on account of my death or account of any personal injury or damage to my personal property which may occur, regardless of whether or not said harm or injury occurs through the negligence, misfeasance, or malfeasance on the part of the City of Huber Heights, Ohio, or whether said harm or damage occurs through acts of a person not employed by the City of Huber Heights, Ohio.
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