I hereby affirm and acknowledge that I fully understand the hazards and risks associated with the many outdoor and other recreational activities in which I am about to engage in as part of the S.O.S. Raymond Rountree Foundation fundraising event being held on this date. The inherent risks and hazards include, but are notlimited to: Injuries sustained from any and all outdoor activities. Injuries sustained from objects that are either natural or man-made, such as rocks, cliffs, and trees. Injuries from hypothermia, heat stroke, and dehydration. Physical and monetaryinjuries sustained due to my own personal negligence and/or the negligence of others. Injuries or illnesses sustained from either plants or animals. Accidents, injuries or illnesses occurring in remote locations where no immediate medical attention is available. *

I understand that the description of these risks is in no way complete and that all such dangers, both anticipated and unanticipated, can lead to illness, injury, permanent disability, drowning and death and in making it possible to participate in many of the above-described activities and more, I both agree and acknowledge that:I hereby release and hold harmless with respect to any and all illness, injury, disability, death, or loss or damage to person or property—whether caused by negligence or otherwise—the following named persons or entities, herein referred to as Releasees: SOS-Raymond Rountree Jr. Foundation, Lorraine Hoover, and all officers and volunteers of the aforementionedentity. This release shall be binding to the fullest extent permitted by law. If any provision of this release is found to be unenforceable, the remaining terms shall still be enforceable. *

Further, I hereby grant and authorize SOS-Raymond Rountree Jr. Foundation the right to take, edit, alter, copy, exhibit, publish, distribute,and make use of any and all pictures or video taken of me during this event without payment or any other consideration.This authorization extends to all languages, media, formats and markets now known or later discovered. *

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT AND PHOTO/ MEDIA RELEASE, AND NOT ONLY DO I FULLY UNDERSTAND ITS TERMS BUT I UNDERSTAND THAT I HEREBY RELEASE ALL LIABILITY AND THEREIN RELINQUISH LEGAL RIGHTS BY SIGNING IT. FURTHER I AUTHORIZE AND RELEASE THE TAKING AND USE OF ANY PHOTOGRAPHS OR OTHER MEDIA RECORDED DURING THIS EVENT *