I hereby grant permission to Kilos for Kofkin Inc. for the use of the photograph(s) or electronic media images as identified below in any presentation of any and all kind whatsoever. I understand that I may revoke this authorization at any time by notifying Kilos for Kofkin Inc. in writing. The revocation will not affect any actions taken before the receipt of this written notification. Images will be stored in a secure location and only authorized staff will have access to them. They will be kept as long as they are relevant and after that time destroyed or archived.

1. In consideration for receiving permission to participate in the 5th Annual Kilos for Kofkin Charity Powerlifting Meet that will be held on March 28th of 2021 (herein referred to as the “Activity”), I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE, AND AGREE TO HOLD Sponsor, its trustees, officers, servants, agents, volunteers and employees (herein referred to collectively as the “Releasees”) FROM AND AGAINST ANY AND ALL LIABILITIES, CLAIMS, DEMANDS, OR INJURIES, INCLUDING DEATH, that may be sustained by me during the Activity. 2. Despite precautions, accidents and injuries can occur. I understand that aspects of the Activity I may undertake may be potentially dangerous and that I may be injured and/or lose or damage personal property, or suffer financial loss as a result of participation in the Activity. Therefore, I ASSUME ALL RISKS RELATED TO THE ACTIVITY including but not limited to:  Death, injury or illness from accidents of any nature whatsoever, including but not limited to bodily injury of any nature, whether severe or not, which may occur as a result of participating in the Activity; and  Death, injury or illness resulting from COVID-19 or other transmittable illnesses and  Theft or loss of my personal property during the Activity. I further acknowledge that the above list is not inclusive of all possible risks associated with the Activity, and that I am aware of the risks involved whether described or not. I further understand that participating in the Activity is an acceptance of the risk of injury, death and financial loss. I hereby certify that I have full knowledge of the nature and extent of the risks inherent in the Activity activities and the use of facilities, equipment, or services in association with the Activity, and that I am voluntarily assuming all risks, whether known or unknown. 3. I agree that my safety is primarily dependent upon my taking proper care of myself. I agree to make sure that I know how to safely participate in the Activity, and I agree to observe any rules and practices that may be employed to minimize the risk of injury. I agree to stop and seek assistance if I do not believe I can safely continue in the Activity. I agree to limit my participation to reflect my personal fitness level.