Registration

Release

TO: ThriveWell Cancer Foundation (the “Sponsor”)

RE: Participation in Diva&Dude Program (the “Program”)

IN CONSIDERATION OF being permitted to participate in the Activity, the undersigned, on behalf of myself and my heirs, executors, administrators and assigns, hereby:

  1. Represents and affirms that I have conferred with my physician and he or she has approved my participation in physical activity such as the Program.
  2. Releases and forever discharges the Sponsor and its employees, officers, directors, shareholders, affiliates, agents, representatives, participants, successors and assigns (collectively the “Releasees”) of and from all claims, demands, damages, costs, expenses, actions and causes of action (collectively the “Claims”) in respect of death, injury, loss or damage to myself or my property however caused, arising or to arise by reason of or during my participation and/or involvement in the Program, and notwithstanding that any Claim may have been contributed to or occasioned by the negligence of any of the Releasees.
  3. Indemnifies and holds harmless the Releasees from and against any and all liability incurred by any or all of them arising as a result of or in any way connected to my participation in the Program.
  4. Understands and acknowledges that the Sponsor does not carry or maintain health, medical or disability insurance coverage for the undersigned and therefore agrees to assume responsibility for such insurance coverage on the undersigned.
  5. Agrees that in the event that any provision of this Release and Indemnity is held to be invalid or unenforceable by any court of competent jurisdiction, the invalidity or unenforceability of such provision will not affect the remaining provisions of this Release and Indemnity which shall continue to be enforceable.
  6. Agrees that the undersigned has inspected the premises and equipment that may be used and further agrees to discharge the Releasees of and from all claims, demands, damages, costs, expenses, actions and causes of action (collectively the “Claims”) in respect of death, injury, loss or damage to myself or my property however caused, arising or to arise by reason of or during my participation and/or involvement in the Program using said equipment.

I hereby acknowledge reading, understanding and agreeing with the foregoing.