As the parent/legal guardian of the Registrant (the Athlete), I (the undersigned) give my permission for the Registrant’s participation in activities offered by Legacy at Carbon (L@C) and Carbon Culture Franklin.

The Registrant wishes to take part in the Activities in full knowledge and understanding that such participation INVOLVES RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY AND DEATH, AND OTHER ECONOMIC LOSSES which may be caused by the Registrant’s own actions or inactions, the actions or inactions of others, the condition of the facility and/or equipment, or NEGLIGENCE BY ANY PARTY.

I confirm that I have personal knowledge and represent that the Registrant is in good physical and emotional condition and health so that there are no restrictions on the Registrant to participate in the Activities.

In consideration of the Registrant being permitted by L@C to participate in the Activities and permitting the Registrant the use of L@C equipment and services, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows:

1. WAIVER: I hereby waive, release, and discharge L@C, its directors, officers, members and employees (the “Releasees”) from any and all claims and damages for personal injury, death, or property damage which the Registrant may sustain or which may occur as a result of the Registrant’s participation in the Activities.
2. INDEMNIFICATION: Regardless of the effectiveness and enforceability of the waiver above, I will compensate and hold L@C harmless from any loss, liability, damage, cost, or expense (including litigation) that it may incur as a result of any injury and/or property damage which I may sustain or cause while participating in the Activities. I will make good any loss, damage, or cost L@C may have to pay if any litigation arises on account of any claim made by me or by anyone on my behalf.
3. JURISDICTION: This Release of Liability, Waiver of Claims, Assumption of Risks, and Indemnification Agreement and any rights, duties, and obligations shall be governed by and interpreted solely in accordance with the laws of Tennessee.
4. NO REPRESENTATIONS: In entering into this Release of Liability, Waiver of Claims, Assumption of Risks, and Indemnification Agreement, I am not relying on any oral, visual, or written representations or statements made by the Releasees with respect to the Activities other than what is outlined in this Agreement
5. VOID PROVISIONS: If any provision of this Agreement is held to be unlawful, void, or for any reason unenforceable, then that provision shall be removed from this Agreement, and this removal shall not affect the validity and enforceability of any remaining provisions.
6. PHOTO RELEASE: I hereby grant Legacy at Carbon permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

   I understand and agree that all photos will become the property of the Legacy at Carbon and will not be returned.

   I hereby irrevocably authorize the Legacy at Carbon to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

   I hereby hold harmless, release, and forever discharge the Legacy at Carbon from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I CERTIFY I AM PHYSICALLY ABLE TO PARTICIPATE IN THE ACTIVITIES. I HAVE CAREFULLY READ THIS RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS, AND INDEMNIFICATION AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS AND EFFECTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND CONTRACT BETWEEN MYSELF AND L@C, WHICH IS BINDING ON MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, SUCCESSORS, AND ASSIGNS, AND THAT I SIGN OF MY OWN FREE WILL.

I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, all electronic signatures are the legal equivalent of my manual/handwritten signature. I consent to be legally bound to this agreement.