ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY

PACUARE RESERVE / ECOLOGY PROJECT INTERNATIONAL

AS A CONDITION OF ACCESS AND USE OF THE PACUARE RESERVE PROPERTY AND FACILITIES, THE FOLLOWING MUST BE LEGIBLY COMPLETED AND SIGNED. PERSONAL INFORMATION WILL NOT BE DISTRIBUTED TO THIRD PARTIES. PLEASE READ THIS CAREFULLY AND IN ITS ENTIRETY. IT is A BINDING LEGAL

In consideration of being granted a non-exclusive license to enter upon, and engage in activities on, the property, I hereby agree as follows:

(For minors put parent/guardian name here and minor info at the end of the form) for myself and my estate, heirs, administrators, executors, and assigns, hereby release, discharge, and hold harmless Ecology Project International administrator of Pacuare Reserve (the "Administrator"), its subsidiaries and their officers, directors, employees, representatives, agents, and volunteers (collectively, the "Releases"), for, from and against any and all liability and responsibility whatsoever, however caused, for any and all damages, claims, or causes of action that I, my estate, heirs, administrators, executors, or assigns may have for any loss, personal injury, death, or property damage arising out of, connected with, or in any manner pertaining to my activities on the property, WHETHER CAUSEDBY THE NEGLIGENCE OF THE RELEASEES or otherwise.

The property is currently accessed by means of a river, approximately 25-40 minutes from the docks in Goshen or Matina towns, in a boat powered by an exterior motor engine. I fully understand that this trip in and out of the property is also covered under this acknowledgment document.

I fully understand that Pacuare Reserve is a biological field and research station, including vast extensions of forest, trails, and over 6 km of beach, designed to protect and research specific habitats and species with all of the accompanying risks. The property is not an amusement park, botanical garden, or controlled animal park.

I fully understand that there are potential risks and hazards associated with entering on and engaging in activities on the property, including, but not limited to, possible injury or loss of life. further understand that sea conditions are harsh and swimming is not allowed, I understand that this is undeveloped property upon which wildlife may be present, I recognize that getting into the trail system also implies risks such as branches falling, and that I may be interacting with, or coming into contact with, persons that are not associated with or under the control or supervision of the Releases. Despite the potential risks and hazards associated with my activities on the property, wish to proceed, and freely accept and assume all risks and hazards that may arise from my activities on the property, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES or otherwise. I acknowledge that my activities on the property are purely optional, that requested this license, and that am freely and voluntarily participating in the activities.

I agree to defend, indemnify, and hold harmless the Releases from any judgment, settlement, loss, liability, damage, or costs, including court costs and attorney fees for both the trial and appellate levels, that Releases may incur as a proximate result of any negligent or deliberate act or omission on my part during my activities on the property. I hereby certify that, with or without accommodations, I am in good health and - know of no medical reason why am not able to participate in programs and activities at the property.

I hereby consent to first aid, emergency medical care, and if necessary, admission to an accredited hospital when necessary for executing such care for treatment for injuries that may be sustained while participating in any program or activity associated with the property. l understand that am responsible for all medical expenses. If have a disability requiring accommodations, will notify the Manager or the Operations Coordinator prior to or immediately upon my arrival. I accept and will abide by the behavioral expectations of the Administrator, applicable state and federal laws, and policies and procedures of Pacuare Reserve. I understand that disregard for the Administrator's policies and applicable laws may be considered grounds for dismissal from programs and activities at the property.

In signing this agreement, I acknowledge and represent that have read and understand it; that sign it voluntarily and for full and adequate consideration, fully intending to be bound by the same; and that am at least eighteen (18) years of age and fully competent.

THIS SECTION MUST BE COMPLETED IN CASE YOU ARE A GUARDIAN/PARENT AUTHORIZING A MINOR TO VISIT THE PROPERTY: