WAIVER

DAVID FARRELL PRODUCTIONS LLC dba DAVID FARRELL SKATEBOARDING

AMATEUR ATHLETIC & COMMUNICABLE DISEASE WAIVER/RELEASE & CONSENT TO MINOR PHOTO/VIDEO USE IN PROMOTIONAL MATERIALS Name of organization/Instructor: DAVID FARRELL PRODUCTIONS LLC dba DAVID FARRELL SKATEBOARDING/DAVID FARRELL _ 2023 WAIVER, All participants must sign In consideration of being allowed to participate in any way in the SKATEBOARDING LESSONS athletic/sports program, related events and activities, the undersigned acknowledge, appreciate and agree that: 1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death. And while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and, 3. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others. And assume full responsibility for my participation; and, 4. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such attention of the nearest official immediately; and, 5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS ______DAVID FARRELL PRODUCTIONS LLC dba DAVID FARRELL SKATEBOARDING their officers, officials, agents, and/or subcontractors, whether paid or not, other participants, sponsoring agencies, sponsors, advertisers and if applicable, owners and lessors of premises used to conduct the event (“Releasees”). WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property. WHETHER ARISING FROM NEGLIGENCE OF THE RELEASEEES OR OTHERWISE. 6. I understand that DAVID FARRELL PRODUCTIONS LLC dba DAVID FARRELL SKATEBOARDING may capture photo/video of my/my child’s participation in this activity and I hereby grant permission to DAVID FARRELL PRODUCTIONS LLC dba DAVID FARRELL SKATEBOARDING to use said photo/video footage in promotional materials including website, email, Facebook page, and/or other social media outlets and publications. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHT BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT. For participant of minor age (under age 18 at time of registration) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.