Dine and Discussion Waiver of Liability Form

Hands-On-Health, a mobile health program and nonprofit corporation organized under Section 501(c3) of the Internal Revenue Code and duly organized and existing under the laws of the State of Ohio. The Releasor contemplated herein includes; but is not limited to any participant, volunteer, independent contractor, and host site or family. Releasor understands that he/she is responsible for his/her own insurance coverage in the event of personal injury or illness because of services provided to or participation with Drs. Tymes 2 Teaches You d/b/a Hands-On-Health.

1. Waiver and Release: I, the undersigned Releasor, hereby release, forever discharge and hold harmless Drs.

Tymes 2 Teaches You d/b/a Hands-On -Health and its, officers, staff, employees, volunteers, successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from the services provided to or participation with Drs. Tymes 2 Teaches You d/b/a Hands-On-Health whether for a specific activity, treatment, event or otherwise. I understand and acknowledge that this Release discharges Drs. Tymes 2 Teaches You, d/b/a Hands-On-Health from any and all liability or claim that I may have against Drs. Tymes 2 Teaches You d/b/a Hands-On-Health with respect to any claims for bodily injury, personal injury, illness, death, disease or property damage that may result from the services provided to me or participation with Drs. Tymes 2 Teaches You d/b/a Hands-On-Health whether for a specific activity, treatment, event or otherwise.

2. COVID-19: I, the undersigned Releasor, hereby agrees and understands that Drs. Tymes 2 Teaches You d/b/a

Hands-On-Health strives to act at all times in a manner consistent with the CDC guidelines promulgated by the relevant leading research bodies and governmental agencies, thereby doing everything they can to protect the Releasor, the staff, the volunteers and the public at large. I further understand that despite its best efforts, the possibility exists that I may contract COVID-19 while at a Drs Thymes 2 Teaches You d/b/a Hands-On-Health event. If this should occur, as otherwise set forth herein, I hereby waive all claims as set forth in paragraph 1 above.

3. Medical Treatment: I hereby Release and forever discharge Drs. Tymes 2 Teaches You d/b/a Hands-On-Health

from any claim whatsoever which arises or may hereafter arise on account of any first-aid, medical treatment or

other medical services rendered in connection with any emergency during my time spent with Drs. Tymes 2

Teaches You d/b/a Hands-On-Health. If I am signing on behalf of a minor child, by signing below I verify my child

is in good health and has my permission to participate in Drs. Tymes 2 Teaches You d/b/a Hands-On-Health programs. I authorize the Drs. Tymes 2 Teaches You d/b/a Hands-On-Health staff or volunteers to act for me in

securing medical treatment for my child in the event of injury or sickness. I understand that if injuries or illness occurs, and in accordance with paragraph 1 above, I expressly waive any claim for compensation or liability on the

part of Drs. Tymes 2 Teaches You d/b/a Hands-On-Health.

4. Assumption of Risk: I understand I may be exposed to activities or treatment that may be hazardous to me. As

a Releasor, I hereby expressly assume this risk of injury or harm from these activities or treatment and release Drs. Tymes 2 Teaches You d/b/a Hands-On-Health from all liability in accordance with paragraph 1 above.

5. Photographic Release: I grant and convey to Drs. Tymes 2 Teaches You d/b/a Hands-On-Health all right, title,

and interest in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by

Drs. Tymes 2 Teaches You d/b/a Hands-On-Health in connection with my participation with Drs. Tymes 2 Teaches You d/b/a Hands-On-Health. I hereby grant Drs. Tymes 2 Teaches You d/b/a Hands-On-Health permission to use such photos or videos while I participate in a Drs. Tymes 2 Teaches You d/b/a Hands-On-Health program, for

promotional purposes. As a parent on behalf of my minor child, I hereby grant Drs. Tymes 2 Teaches You d/b/a Hands-On-Health the same permission to use such photos or videos while my child participates in a Drs. Tymes 2 Teaches You d/b/a Hands-On-Health program, for promotional purposes, so long as my child’s name is not affiliated with the photo or video.

6. Other: As a Releasor, I expressly agree that this Release is intended to be as broad and inclusive as permitted by

the laws of the State of Ohio and that this Release shall be governed by and interpreted in accordance with the laws of the State of Ohio. I agree that in the event that any clause or provision of this Release is determined to be invalid, the enforceability or validity of the remaining provisions of this Release shall not be affected.

By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability for Drs.

Tymes 2 Teaches You d/b/a Hands-On-Health, willingly and voluntarily, and, if applicable, on behalf of my child. I have read, understand, and agree to the Drs. Tymes 2 Teaches You d/b/a Hands-On-Health Code of Conduct as well as the COVID-19 guidelines identified herein.