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INDIAN RIVER COUNTY <br /> WORK PROGRAM <br /> LIABILITY RELEASE FORM <br /> I, <br /> having been sentenced in County / Circuit Court, hereby release Indian River <br /> County from any liability from my participating in the Work Program. <br /> To the best of my knowledge, I certify that I am in good physical condition <br /> and suffer from no serious illness , disease or condition that will affect my ability to <br /> perform assigned tasks on the Indian River County Work Program . <br /> Participant ' s Signature & Date <br /> Probation Officer ' s Signature & Date <br /> Liability release . Form 01 . 02 san <br />