DMV Young Swimmers LLC, Heavenlee Young

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS ACTIVITY, including, but not limited to, any
risks that may arise from the condition of the equipment and/or real and personal property owned, managed,
maintained, and/or controlled by DMV Young Swimmers and Heavenlee Young or the owners of which the service is
being rendered, at the location of the Activity.

I (and/or parent of the child) recognize that participation in the Activity can carry with it potential risks, including, but
not limited to, bodily injury. I (and/ parent of the child) certify that I have not been advised to refrain from participating
in the Activity by a medical professional. There are no health-related reasons or problems that preclude my or child’s
participation in this Activity.

I (and/ or parent of the child) hereby consent to receive medical treatment that may be deemed advisable in the
event of injury, accident, and/or illness during this Activity. However, this consent does not require DMV Young
Swimmers or Heavenlee Young to initiate medical care on my behalf. I(and/ parent of the child) agree to accept full
responsibility for and to pay for the cost of medical care, transportation, and any other incidental expenses arising
from any such event.

In consideration of receiving permission to participate in this Activity, I (and/ parent of the child) hereby take action
for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows:
(A) I (and/ or parent of the child) WAIVE, RELEASE AND DISCHARGE the DMV Young Swimmers or Heavenlee
Young and its agencies (owner and their location), agents, employees, volunteers, contractors, sponsors, advertisers,
partners, and/or representatives from any and all liabilities, claims, penalties, suits, demands, judgments, costs,
interest, and expenses (including, attorneys’ fees and costs) (each a “Loss” and collectively the “Losses”) including,
but not limited to, Losses arising from or connected in any way to my death, disability, personal injury, property
damage, property theft or actions of any kind which may hereafter occur to me in connection with the Activity
including my traveling to and from this Activity;
(B) I (and/ or parent of the child) AGREE TO INDEMNIFY and HOLD HARMLESS the DMV Young Swimmers or
Heavenlee Young or the owners of which the service is being rendered for, from, and against any and all Losses
arising or resulting from participation in this Activity; I (and/ or parent of the child) certify that I have read this
document, that I (Parent of Participating Child) am at least 18 years old and can sign this Waiver, and that I fully
understand its content. I am aware that this is a release of liability and is a contract made in consideration of my
participation in the Activity.