Waiver and Release of Liability and Assumption of Risk Indemnity Agreement in consideration of being permitted to participate in STOMP! Out Epilepsy and SUDEP Awareness Family Fun 5K Walk/Run (the Event) as a walker or runner, or in any other capacity, I, for myself, my heirs, next of kin, and personal representatives acknowledge and agree that: In participating in the Event and signing this form for myself (or the participant if he/she is under the age of 18), I know that walking or running in an event like that can be potentially hazardous. I represent that I am qualified, in good health, and in proper physical condition to participate in the Event and that I will stop my participation if I believe the Event becomes unsafe. I acknowledge and understand fully that there are risks and dangers of serious bodily injury and death that could result from my participation in the Event from any cause. Being aware of these risks and dangers, I have voluntarily elected to participate in the Event, and fully accept and assume all risks and all responsibilities for any injury, losses, and damages to persons or property that I incur as a result of my participation in the Event. I hereby agree not to sue and release, discharge, waive, hold harmless, and indemnify the Chelsea Hutchison Foundation (CHF) and their respective officers, directors, employees, volunteers, sponsors, advertisers, participants, agents, and representatives from and against any and all liabilities, claims, demands, losses, damages, suits, and proceedings, regardless of the cause. I have read this agreement and understand that I have given up substantial rights by accepting it. I also grant CHF and all sponsoring businesses and organizations and their agents’ permission to use any photographs, motion pictures, recordings or any other record of the event in legitimate purpose. I agree to no costumes or disguises without the prior written consent of CHF.