I UNDERSTAND THAT I AM BEING ASKED TO READ EACH OF THE FOLLOWING PARAGRAPHS CAREFULLY. I WILL SIGN BELOW FOR MY CONSENT TO ALL INFORMATION. I UNDERSTAND THAT IF I WISH TO DISCUSS ANY OF THE TERMS CONTAINED IN THIS AGREEMENT, I MAY CONTACT FORWARD SERVICE CORPORATION.

ASSUMPTION OF RISKS:

I understand that physical activity related to the activity/program, by its very nature, carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. Some of these involve strenuous exertions of strength using various muscle groups, some involve quick movement involving speed and change of direction, and others involve sustained physical activity, which places stress on the cardiovascular system. The specific risks vary from one activity to another, but in each activity the risks range from: 1) minor injuries such as scratches, bruises, and sprains to 2) major injuries such as fractures, internal injuries, joint or back injuries, heart attacks, concussions, and communicable diseases to 3) catastrophic injuries including paralysis and death. I understand that Forward Service Corporation has advised me to seek the advice of my physician before participating in this activity. I understand that I have been advised to have health and accident insurance in effect and that no such  overage is provided for me by Forward Service Corporation. I know, understand, and appreciate the risks that are inherent in the programs and activities. I am stating that I am aware of and accept the risk inherent in the program activity. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.

HOLD HARMLESS, INDEMNITY AND RELEASE:

In consideration of permission for me, my son, my daughter and/or my ward to voluntarily participate in an activity/program through Forward Service Corporation, today and on all future dates, I, for myself, my heirs, personal representatives or assigns, agree to defend, hold harmless, indemnify and release Forward Service Corporation and their officers, agents, and employees from any and all liability, loss, damages, costs, or expenses which are sustained, incurred or required arising out of the actions of my son, daughter or ward in the course of the activity/program.

ACCURACY AND UPDATES:

I attest that all information on this form is correct and up-to-date, and that I will provide any and all significant, material, or important changes to any information in this form to Forward Service Corporation staff immediately.

BY SIGNING BELOW, I AGREE TO ALL OF THE ABOVE STATEMENTS.