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ACTIVITY WAIVER FORM 

THIS ACTIVITY WAIVER FORM (this “Waiver”) dated this 15th day of March 2024 IN CONSIDERATION of being allowed to participate in the Activity and other good and  valuable consideration, the receipt of which is hereby acknowledged, I (the “Participant”) agree with  Cally Tourneys d/b/a/ Hoosier Hoedown of 501 Sequoia Drive, St. Peters, MO  63376, USA (the “Activity Provider”) to the following: 

DETAILS OF THE ACTIVITY 

1. Scheduled from March 15, 2024 to March 17, 2024, the Participant will be participating in the  following activity: Adult ice hockey tournament (the “Activity”) provided by the Activity  Provider. 

CONSIDERATION 

2. Being of lawful age and in consideration of being permitted to participate in the Activity,  the Participant releases and forever discharges the Activity Provider, the Activity  Provider’s spouse, heirs, executors, administrators, legal representatives, contractors, and  assigns from all manner of actions, causes of action, debts, accounts, bonds, contracts,  claims, and demands for or by reason of any injury to person or property, including injury  resulting in the death of the Participant, which has been or may be sustained as a  consequence of the Participant’s participation in the Activity, and not withstanding that  such damage, loss, or injury may have been caused solely or partly by the negligence of  the Activity Provider. 

3. The Participant understands that the Participant would not be permitted to participate in  the Activity unless the Participant signed this Waiver. 

CONCURRENT RELEASE 

4. The Participant acknowledges that this Waiver is given with the express intention of  effecting the extinguishment of certain obligations owed to the Participant by the Activity  Provider, and with the intention of binding the Participant’s spouse, heirs, executors,  administrators, legal representatives, and assigns.  

FITNESS TO PARTICIPATE 

5. The Participant acknowledges to the Activity Provider that the Participant does not have  any physical limitations, medical ailments, or physical or mental disabilities that would limit or prevent the Participant from participating in the Activity. If required, the  Participant will obtain a medical examination and clearance. 

FULL AND FINAL SETTLEMENT 

6. The Participant acknowledges and agrees with the Activity Provider that: (1) the Activity  Provider has given the Participant sufficient time to carefully read this Waiver, (2) the  Participant has been given the opportunity to and ahs been encouraged to seek  independent legal advice prior to signing this Waiver, (3) the Participant fully understands  the risks and claims that the Participant is waiving to participate in the Activity, (4) the  Participant is freely and voluntarily executing this Waiver, and (5), the Participant is  forever prevented from suing or otherwise claiming against the Activity Provider or  Activity Provider’s contractors for any property loss or personal injury that the  Participant may sustain while participating in or preparing for the Activity.  GOVERNING LAW 

7. This Waiver will be governed by and construed in accordance with the law of the State of  Missouri

IN WITNESS WHEREOF the Participant has duly affixed their signature on this 7th  day of June, 2024.

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