Workshop RSVP Register for FREE Workshops at our T.E.A.L.® Community Center First Name: Last Name Email: Address Line 1 Address Line 2: City: State: ZIP/Postal Code: Phone Number: Age: Under 12 years old 12-17 years old 18-24 years old 25-34 years old 35-44 years old 45-54 years old 55-64 years old 65-74 years old 75 years or older Gender: I am an ovarian cancer survivor Yes No I am attending In-person Virtually (ex- call in, video conference) Race/Ethnicity Workshop August 30th- Energy Healing and Meditation (virtual) 9-9:30 AM EST September 6th- Energy Healing and Meditation (virtual) 9-9:30 AM EST September 13th- Energy Healing and Meditation (virtual) 9-9:30 AM EST September 20th- Energy Healing and Meditation (virtual) 9-9:30 AM EST September 27th- Energy Healing and Meditation (virtual) 9-9:30 AM EST October 14th-Daughter of T.E.A.L.® October 24th-Breathing Through Ovarian Cancer(In-Person) 5PM-6PM EST November 21st- Crystal Healing Exploration Survivor Social(virtual) 3PM-4:30PM EST T.E.A.L.® VIRTUAL EVENT RELEASE AND WAIVER OF LIABILITY I desire to participate in a virtual event (the “Event”) being sponsored, conducted or arranged by Tell Every Amazing Lady About Ovarian Cancer Louisa M. McGregor Ovarian Cancer Foundation also known as T.E.A.L.®(“T.E.A.L.”). I understand that the virtual event activities may include, but are not limited to, running, walking, bicycle riding, meditation, cooking or participation in online workshops, or other activities described in connection with the Event. I also understand that the Event will be conducted virtually, meaning that, depending on the nature of the Event the participants will not meet at a specified location or locations, but will participate in the Event remotely, at locations of each participant’s choice that have not been specified or inspected by T.E.A.L, with other participants who may agree among themselves to participate physically together, or participate online where appropriate to the event. I further understand that T.E.A.L.® will not be providing supervision and will not have representatives present where the participants are located during the Event. In exchange for being allowed to participate in the Event and for other good and valuable consideration, which I acknowledge is sufficient and has been received, I hereby freely, voluntarily, and without duress agree to give this Release to T.E.A.L., its directors, officers, members, employees, volunteers and agents, all event sponsors and their employees, agents and representatives (the “Released Parties”), on behalf of myself, my heirs, administrators, executors, successors and assigns, and agree to the following terms: Assumption of Risk. I am aware and understand that some or all of the Event activities may be inherently dangerous and may expose me to a variety of foreseen and unforeseen hazards and risks. I acknowledge that I am voluntarily participating in the Event, and all activities it involves and have considered those risks. I hereby expressly and specifically assume such risks, including any and all risk of injury, harm, or loss that I may incur as a result of my participation in the Event or any of its activities. I represent that I am capable of all activities involved in the Event and have received no restrictions on such activities from any physician or medical services advisor. Medical Treatment. I acknowledge that, as the Event is virtual, T.E.A.L.® will not be able to arrange for any medical treatment for me should it become necessary during the Event and accept complete responsibility for arranging for my own medical treatment. I understand and agree that I am solely responsible for all costs related to such medical treatment, medical transportation, and/or evacuation that should become necessary. I hereby release, forever discharge, and hold T.E.A.L. harmless from any claim whatsoever in connection with such treatment or other medical services. Covid-19. I acknowledge that the virtual Event may be taking place during the Covid-19 pandemic and agree that during my participation I will comply with all applicable requirements or recommendations of federal, state or local governmental or public health authorities, including, without limitation, social distancing and wearing of masks or other face coverings. I hereby expressly and specifically assume the risk that I might contract Covid-19 during or after participation in the Event, even if I comply with all of the foregoing requirements. Release and Waiver. I hereby fully and forever release and discharge the Released Parties from, and expressly waive and covenant not to sue with respect to, any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, that may arise from my participation in the Event. I agree not to make or bring any such claim or demand against the Released Parties, and fully and forever release and discharge the Released Parties from liability under such claims or demands. I UNDERSTAND THAT THIS RELEASE DISCHARGES THE RELEASED PARTIES FROM ANY LIABILITY OR CLAIM THAT I MAY HAVE AGAINST ANY OF THEM WITH RESPECT TO ANY BODILY INJURY, PERSONAL INJURY, ILLNESS, DEATH, PROPERTY DAMAGE, OR PROPERTY LOSS THAT MAY RESULT FROM THE ACTIVITIES, WHETHER CAUSED BY THE NEGLIGENCE OR FAULT OF ANY OF THE RELEASED PARTIES OR OTHERWISE. Insurance. I UNDERSTAND THAT T.E.A.L.® DOES NOT ASSUME ANY RESPONSIBILITY FOR OR OBLIGATION TO PROVIDE FINANCIAL ASSISTANCE OR OTHER ASSISTANCE, INCLUDING BUT NOT LIMITED TO MEDICAL, HEALTH, OR DISABILITY INSURANCE OF ANY NATURE IN THE EVENT OF MY INJURY, ILLNESS, OR DEATH, OR DAMAGE TO OR LOSS OF MY PROPERTY AS A RESULT OF MY PARTICIPATION IN THE EVENT. Photographic, Name and Likeness Release. I understand and agree that during the Event, I may be photographed, videotaped or otherwise recorded by T.E.A.L, or with T.E.A.L.®’s authority, for internal, promotional or other use. I hereby grant and convey to T.E.A.L.® all right, title, and interest, including but not limited to, any royalties, proceeds, or other benefits, in any and all such photographs or recordings, and consent to T.E.A.L.®’s use of my name, biographical information, image, likeness, performance statistics from the Event, and voice in perpetuity, in any medium or format, whether now known or hereafter invented, for any purpose without further compensation or permission. No Refunds. I acknowledge that any registration fees paid, or donations made, in connection with the Event are non-refundable and may not be transferred to any other participant. General Provisions. I hereby agree that this Release represents the full understanding between T.E.A.L.® and me concerning my participation in the Event and supersedes all other prior agreements, understandings, representations, and warranties, both written and oral, between us, with respect to the subject matter hereof. If any term or provision of this Release shall be held to be invalid by any court of competent jurisdiction, that term or provision shall be deemed modified so as to be valid and enforceable to the full extent permitted. The invalidity of any such term or provision shall not otherwise affect the validity or enforceability of the remaining terms and provisions. This Release is binding on and inures to the benefit of T.E.A,L. and me and our respective heirs, executors, administrators, legal representatives, successors, and permitted assigns. Section headings are for convenience of reference only and shall not define, modify, expand, or limit any of the terms of this Release. Governing Law. I hereby agree that this Release is intended to be as broad and inclusive as permitted, and that this Release shall be governed by and interpreted in accordance with the laws of the State of New York, without reference to any choice of law doctrine. I have read and agree to the terms above. I AGREE TO THE FOREGOING. BY SIGNING HERE I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS WAIVER AND RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE T.E.A.L.® OR ANY OF THE RELEASED PARTIES.