AGREEMENT AND RELEASE OF LIABILITY I, the undersigned, understand the following: * Rock'n Our Disabilities Foundation does not provide participants with medical insurance or treatment for injuries. * I agree to hold harmless and release Rock'n Our Disabilities Foundation, its officers, agents, and employees from all liability arising from or related to my participation in the Dash For disABILITIES for Special Needs families program activities. This release includes, but not limited to, all liability for death, personal injury, or property damage resulting from the active or passive negligence of the Rock'n Our Disabilities Foundation or its agents or any defective or hazardous condition of any property or equipment owned, operated or maintained by the Rock'n Our Disabilities Foundation. The Agreement and Release of Liability are signed with the full knowledge of all members representing your party in the event. In ADDITION, the undersigned certifies that the foregoing application has been read and understood and any statements made in connection with the application are true and accurate. The applicant agrees to comply with all the rules and regulations established by Rock'n Our Disabilities Foundation as stated on this application.