Waiver & Release

(PLEASE READ CAREFULLY)

By signing this WAIVER & RELEASE, I acknowledge that I understand its intent, and I for myself, and my heirs, executors, administrators, and representatives, do hereby agree and will absolve and hold harmess Rhode Island Ultimate Player's Association, Inc., ("RIUPA), the Moses Brown School, and the Wheeler School, along with their employees, agaents, and representatives, together with their respective successors and assigns, singly and collectively, from and against any blame and liability for any injury, harm, loss, inconvenience, or any other damage of any kind whatsoever, which may result from or be connected in any way to participation in the activities of RIUPA.

In addition to the above absolute and unqualified release from liability, I hereby represent that I am physically capable of participating in the activities of RIUPA and that I assume the risk for any injury, harm, loss, inconvenience, or any other damage of any kind whatsoever, which may result from or be connected with in any way to my participation in the activities of RIUPA. I agree to conduct myself in a safe and prudent manner and hereby absolve and hold harmless RIUPA, the Moses Brown School, and the Wheeler School, along with their employees, agents, and representatives, together with their respective successors and assigns, singly and collectively, for any damages I may sustain as a result of my breach of these representations.

I certify that I have read this WAIVER & RELEASE and I understand its legal significance.

NAME:_____________________________________

SIGNATURE:_____________________________________

DATE:_____________________________________