In consideration for being permitted by Barbara Carbone to participate in the above-referenced activity, I hereby waive, release, and discharge any and all claims for damages for personal injury, death, or property damage which I may have, or which may hereafter accrue to me, as a result of participation in said activity. This release is intended to discharge in advance. Barbara Carbone from any and all liability arising out of or connected in any way with my participation in said activity, even though that liability may arise out of active or passive negligence or carelessness on the part of the persons or entities mentioned above.
It is further agreed that this waiver, release and assumption of risk is to be binding on my heirs, administrators, executors, and assigns and that I shall indemnify and hold Barbara Carbone free and harmless from any loss, liability, damage, cost, or expense which may arise out of or connected in any way with my participation in said activity.
Additionally, I fully understand that my participation in the above-referenced activity exposes me to the risk of personal injury, death, communicable diseases, illnesses, viruses, and/or property damage. I hereby acknowledge that I am voluntarily participating in this activity and agree to assume any such risks.
PHOTOGRAPHIC RELEASE: I understand that photographs may be taken during this activity and hereby grant Barbara Carbone permission (or not) to use any such photo (s) for advertising or in promotional materials.
PARENTAL/GUARDIAN CONSENT: (to be completed and signed by parent/guardian if Participant is under 18 years of age.) I hereby consent that may my son or daughter, , participate in the above-referenced activity, and I hereby execute the above Agreement, Waiver, and Release on their/her behalf. I state that said minor is physically able to participate in said activity. I hereby agree to indemnify and hold Barbara Carbone (including its officers, employees, volunteers, and agents) free and harmless from any loss, liability, damage, cost, or expense which may arise out of or connected in any way with said minor’s participation in said activity.
I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER, AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND BARBARA CARBONE AND I SIGN IT OF MY FREE WILL.
