Intending to be legally bound, I hereby certify that:
1. I am 21 years of age or older.
2. I am submitting this release, waiver of liability, and assumption of risk declaration voluntarily and
of my own free will.
3. I have no physical or emotional problems, nor any history thereof, which will impair my ability to
participate in this event in a safe manner.

DISCLAIMER CLAUSE
The organizers, establishments, sponsors, and volunteers of this event are not responsible for any injury,
loss or damage of any kind sustained by any person while participating in this event, including
injury, loss or damage which might be caused by the action, inaction, or negligence of others. I hereby for
myself, my heirs, executors, administrators or anyone else who might claim in my behalf, covenant not to
sue, and waive, release and discharge the event organizers, Summit's Edge, LLC, the establishments,
sponsors, and volunteers of any and all claims of liability for death, personal injury or property damage
of any kind or nature whatsoever arising out of, or in the course of my participation in this event. This
Release and Waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen,
known or unknown.

ASSUMPTION OF RISKS
In consideration of my participation in the event, I acknowledge that I am aware of the possible
risks, dangers and hazards associated with my participation in the Crawl for a Cure (including the risk of
severe or fatal injury to myself or others). These risks include but are not limited to the following:
a) the risks associated with travel to and from location(s) to be visited during the event,
including transportation provided by commercial, private and/or public motor vehicles;
b) intoxication and/or alcohol poisoning from the alcohol I consume whether voluntarily or through
coercion;
c) the possibility of bodily injury of any kind, including dental damages, from (1) falling down, (2)
entering or exiting the mode of transportation being used for the event, (3) being knocked down
or being involved in a physical confrontation whether caused by myself or someone else;
d) the risks associated with returning to my residence after participating in the event, whether
traveling by foot or in any kind of commercial, private and/or public motor vehicle.

INDEMNIFICATION AND RELEASE OF LIABILITY
In return for my voluntary participation in Crawl for a Cure and related activities, I agree:
1. TO ASSUME AND ACCEPT ALL RISKS arising out of, associated with or related to my participating
in this event, even though such risks may have been caused by the action(s), inaction, or
negligence of others;
2. TO BE SOLELY RESPONSIBLE FOR ANY INJURY, SOCIAL AND ECONOMIC LOSS, COST OR
DAMAGE which I might sustain while participating in the event even though such injury,
loss or damage may have been caused by the action(s), inaction, or negligence of others;
3. TO HOLD HARMLESS AND INDEMNIFY THE EVENT ORGANIZERS, Summit's Edge. LLC,
the administrators, directors, agents, officers, volunteers and employees:
a) from any and all liability for any damage to the personal property of, or personal injury to, any
third party resulting from my participation in the event and all related activities; and
b) from any and all claims, demands, actions, losses and costs which might arise out of my
participating in the event, even though such claims, demands, actions, losses and costs
may have been caused by the action(s), inaction, or negligence of others.
By signing below, I consent to having the information in this document collected by event organizers.
Certain personal information may be made available to federal and provincial government departments
and agencies under appropriate legislative authority. Personal information is protected and will be
treated as confidential.

ACKNOWLEDGEMENT
I acknowledge that I have read this agreement, that I have executed this agreement voluntarily and without any
inducement or assurance of any nature, that I intend it be a complete and unconditional release of all liability to the greatest
extent allowed by law, that I understand that I have given up substantial rights by signing it, and that this agreement is
to be binding upon myself, my heirs, executors, administrators and representatives, in the event of my death or
incapacity.