I hereby acknowledge that participation in Heritage Place programs is completely voluntary and that I should not
participate unless I am medically and physically able to do so. With full knowledge and understanding of the
foregoing, I expressly assume any and all risks associated with my voluntary participation. In addition, I, for myself
and for anyone else who might claim on my behalf, covenant not to sue and hereby waive, release, and discharge
Heritage Place of Indianapolis, Inc., its board members, clients, employees, participants, officials, sponsors,
volunteers and their representatives, successors, agents, employees and assigns, from any and all claims, liabilities,
debts, and causes of action, whether foreseen or unseen, for death, personal injury, property damage or any other
injuries which may arise from my travel to, participation in, or return from Heritage Place programs. I hereby consent
to and authorize the use or reproduction by Heritage Place of Indianapolis, Inc. of any and all photographs, slides
and videos taken during my voluntary participation for the purpose of promotion, without compensation to me.