The above named PARTICIPANT, am eighteen years of age or older and have voluntarily applied to participate in the above Activity or Booth. I acknowledge that the nature of the Activity or Booth may expose me to hazards or risks that may result in my illness, personal injury or death and I understand and appreciate the nature of such hazards and risks.

In consideration of my participation in the Activity or Booth, I hereby accept all risk to my health and of my injury or death that may result from such participation and I hereby release the above named Community Coalition for Health (C2H), its governing board, officers, employees and representatives from any liability to me, my personal representatives, estate, heirs, next of kin, and assigns for any and all claims and causes of action for loss of or damage to my property and for any and all illness or injury to my person, including my death, that may result from or occur during my participation in the Activity or Booth, whether caused by negligence of the Community Coalition for Health (C2H), its governing board, officers, employees, or representatives, or otherwise.

I further agree to indemnify and hold harmless the Community Coalition for Health (C2H), and its governing board, officers, employees, and representatives from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in the described Activity or Booth.