2025 LIABILITY RELEASE WAIVER FORM

This is a legally binding LIABILITY RELEASE WAIVER, Discharge, and Covenant Not to Sue (the “Release”) made by us to Left Coast Athletix, its governing board, Coach Jose Mohler, any coaches, directors, organizers, sponsors, staff, assistant coaches, employees, interns, or volunteers, its agents, employees, independent contractors, related entities, and its successors and assigns (the “Released Parties”).

We acknowledge the dangers and risks our children and athletes may face while participating in the Holiday Camp Weekend from December 19 through December 21, 2025, and any Left Coast Athletix-related event.

We understand that Left Coast Athletix, under the guidance of Coach Jose Mohler, does not require our child to participate in this Activity, but we want our children to, despite all the possible risks and dangers. Therefore, we agree to assume and take on all of the risks and responsibilities in any way associated with this Activity. We release Left Coast Athletix and the Released Parties from any liability, claims, and actions, including rights to sue, that may arise from injury, including death, in connection with this Activity.

We also release and hold harmless and cannot sue the Released Parties concerning any such injury, paralysis, dismemberment, death, or loss except that injury or loss which results from gross negligence or willful or wanton misconduct of one of those individuals or organizations.

We agree that my child must follow all safety and other rules during this showcase (the Activity). We authorize and consent to medical care being given to the child named above in the event of an emergency while they are participating in the Activity mentioned earlier.

We assure Left Coast Athletix and the Released Parties that no health-related reasons or problems could preclude or restrict my child from participating in this Activity. We further assure the Released Parties that we have adequate health insurance necessary to provide for and pay any medical costs that may directly or indirectly result from participation in this Activity. We will indemnify and hold the Released Parties harmless for medical expenses.

I/WE HAVE READ THIS ENTIRE RELEASE, I/WE FULLY UNDERSTAND IT, AND I/WE AGREE TO BE LEGALLY BOUND BY IT. THIS IS TO CERTIFY AS

A PARENT/GUARDIAN OF THIS PARTICIPANT/ATHLETE, I/’ WE DO CONSENT TO THIS WAIVER AND RELEASE AS FORTH ABOVE. I/WE REALIZE THAT PARTICIPATION IN THIS PROGRAM IS STRICTLY VOLUNTARY, AND I/WE ASSUME ANY AND ALL RISKS ASSOCIATED WITH MY/OUR CHILDREN’S/ S/ATHLETE S PARTICIPATION IN THIS ACTIVITY.

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