In consideration of my participation in the Casting for Life Retreat, and for other good consideration to me, which I hereby acknowledge, I hereby, for myself, my heirs, administrators and executors assume all risks, of any nature and kind, which might be associated with the Casting for Life Retreat. I waive and release any and all right and claim for damages which I may have against the Casting For Life, the sponsors, organizers and others connected with this event, and their respective representatives, successors and assigns for any and all injuries to my person or property of any kind whatsoever suffered by as a result of taking part in this event or its activities.

I acknowledge that this waiver and release extends to and includes any matters now existing or that may arise by reason of me taking part in this event and its related activities. I am signing this waiver and release of my own free will and I have not relied upon anything told or promised to me by or for those persons or entities released, and have satisfied myself of the facts of this event or its related activities by own knowledge and investigation.

Name of Person Attending (PLEASE PRINT)____________________________________________

Witness (PLEASE PRINT) __________________________________________________________

Signature of Person Attending ________________________________________________________