I, ______________________________________________ , will be participating in a charitable walk called the 3/5k FIT & FABULOUS RUN/WALK taking place on May 2, 2025 (herein defined as the “Activity”). I warrant that I am in good health and have no physical condition that would prevent me from participating in the Activity. I fully realize, understand, and agree that there are inherent risks, both foreseeable and unpredictable, associated with a walk and exercise including, but not limited to, injuries or death from falls, sprains, strains, fractures, heart ailments, the potential for being struck by a vehicle, windblown or collapsing scaffolding, barricades and signage, the effects of the weather, including high heat and/or humidity, high winds, lightning, and extreme cold, snow and ice, traffic, and the conditions of the road, all such risks being known and appreciated by me. I further acknowledge that the organizers reserve the right to refuse or revoke my participation in the Activity. I agree to assume and accept full responsibility in spite of and with full knowledge of these risks. My participation in the Activity is completely voluntary and I acknowledge that the Released Parties make no representations about my safety or care.

IN CONSIDERATION FOR ALLOWING ME TO PARTICIPATE IN THE ACTIVITY AND/OR PRIZE, I, HEREBY HOLD HARMLESS, RELEASE, INDEMNIFY, AND DISCHARGE FROM LIABILITY THE RELEASED PARTIES FROM ALL LIABILITY, CLAIMS, JUDGMENTS, DEMANDS, CONTROVERSIES, AGREEMENTS, DAMAGES, ACTIONS, AND CAUSES OF ACTION WHATSOEVER, ARISING OUT OF OR RELATED IN ANY WAY TO THE ACTIVITY OR THE CONDUCT OF THE ACTIVITY WHETHER IN LAW OR EQUITY, NO MATTER WHAT THE CAUSE OR NATURE, AND I FURTHER WAIVE ANY CLAIMS THAT I MAY STATE OR ASSERT AGAINST ANY OF THE RELEASED PARTIES IN ASSOCIATION WITH THE ACTIVITY, ITS ASSOCIATED EVENTS, OR IN ANY WAY RELATED TO OR RESULTING FROM THE ACTIVITY EVEN IF SUCH INJURY OR CLAIMS RESULTS FROM OR IS CAUSED BY THE NEGLIGENCE OF ANY OF THE RELEASED PARTIES, IN WHOLE OR IN PART. I FURTHER AGREE TO INDEMNIFY AND HOLD HARMLESS THE RELEASED PARTIES FROM ANY CLAIM ARISING OUT OF MY PARTICIPATION IN THE ACTIVITY.

I understand that by participating in the Activity, I have granted DOUBLE DUTCH THERAPY/DDT the right and license to use, publish, reproduce, display, perform, adapt, modify, distribute, have distributed and promote such content in any form, in all media forms, now known or hereinafter created, anywhere in the world, for any purpose. I acknowledge and agree that DOUBLE DUTCH THERAPY/DDT may subsequently use for publicity and/or promotional purposes, my likeness, photographs, videotapes, other recordings or media, or name without any additional consideration to me beyond allowing participation in the Activity.

I certify I am over the age of 18 individually, or as a parent of any minor, and am legally competent to sign this Release Agreement. I understand that the representations contained in this Release Agreement are contractual and not mere recital. I have fully informed myself of and understand the contents of this Release Agreement and I have signed this document of my own free act. If any provisions of this Release Agreement shall be deemed to be unenforceable and/or void, the remainder of this Release Agreement shall not be affected thereby and the remainder of this Release Agreement shall be fully enforceable.

I agree to the 2025 Waiver.

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