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                Waiver and Release of Liability           Waiver
                                       (Read before signing)                          
                                               (2 of 2)                 

In consideration of being allowed to participate in any way in the Backtrackers program, its related
events and activities, I acknowledge, appreciate, and agree that:
1. The risk of injury from the activities involved in this program is always possible, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
2. 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,
3. 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 to the attention of the staff immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby
release, indemnify, and hold harmless Backtrackers, Will Franck personally, agents and/or employees,
other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of
premises used for the activity (“Releasees”), with respect to any and all injury, disability, death, or loss or
damage to person or property, whether arising from the negligence of the releasees or otherwise, to the
fullest extent permitted by law.

I have read this release of liability and assumption of risk agreement, fully understand its terms, understand
that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

In addition, I release to Backtrackers, Will Franck, rights to use any photograph or video taken while participating
in its programs, to be used by Backtrackers, Will Franck , including advertising.

x_____________________________________________ Age:_____ Date Signed:________
Participant’s Signature

                                    For Parents/Guardians of Participants of Minority 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 the 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.

x____________________________________________ Emerg. Phone # :_______________
Parent/Guardian's Signature
                                                                                                                                   Date Signed________