ADULT AGREEMENT AND RELEASE OF LIABILITY

I request permission to participate in the Fraternus Ranch and/or Fidelis Camp sponsored by FRATERNUS, INC. I agree to abide by all the rules and regulations adopted and published by FRATERNUS, INC. relating to the operation and conduct of the Ranch/Camp and the use of the facilities provided for the Ranch/Camp. I understand that my failure to observe these rules may result in my being excluded from participation in the Ranch/Camp program.

I consent that I am physically able to participate in the Fraternus Ranch and/or Fidelis Camp. I fully understand and agree that my participation in the Fraternus Ranch and/or Fidelis Camp may entail the risk of physical injury or death. I agree to assume such risk and to waive any claim of any kind whatsoever, whether resulting from an injury or otherwise, resulting from my participation in the Fraternus Ranch and/or Fidelis Camp. I further agree to release, indemnify and hold harmless Fraternus, Inc. and their respective directors, officers, employees, agents and/or representatives from any and all liability occurring as a result of my participation in the Fraternus Ranch and/or Fidelis Camp.

I will be personally responsible for any financial cost incurred as a result of my participation in the Fraternus Ranch and/or Fidelis Camp, including without limitation, and/or medical expenses incurred as a result of any injury. Furthermore, I understand that FRATERNUS, INC. assumes no liability for lost, misplaced, stolen and/or damaged personal property and I hereby agree to release FRATERNUS, INC. from any such liability.
The undersigned has read and voluntarily signed this waiver.