RHODE ISLAND ULTIMATE PLAYERS ASSOCIATION, INC.

WAIVER & RELEASE

(Please Read Carefully)

By signing this WAIVER & RELEASE, I acknowledge that I understand its intent and that I do hereby agree and will absolve and hold harmless Rhode Island Ultimate Players Association, Inc. ("RIUPA"), the Moses Brown School, the Wheeler School, Brown University, and the City of Providence, along with their employees, agents, and representatives, 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 the above absolute and unqualified release from liability, I hereby understand that Ultimate Frisbee is a strenuous physical activity which may place me at risk of serious bodily injury or harm. 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, the Wheeler School, Brown University, and the City of Providence, along with their employees, agents, and representatives, singly and collectively, from and against any blame and liability for any injury, harm, loss, inconvenience, or any other damage of any kind whatsoever, I may sustain as a result of my breach of these representations.

I certify that I am eighteen (18) years of age or older, I have read this WAIVER & RELEASE and I understand its legal significance. (If less than eighteen (18) years of age, a parent or legal guardian must sign).

Printed Name: __________________________________________________________

Signature: ______________________________________________________________

Date: __________________________________________________________________