MEMBERSHIP ACKNOWLEDGEMENT

I certify that I am a member of the Fire & Ice Spirit Spa, have agreed to all of their terms, rules and guidelines.

SOVEREIGN DECLARATION AND ASSUMPTION OF RISK, RELEASE AND INDEMNITY AGREEMENT

In consideration of being allowed to participate in any way in the FIRE & ICE SPIRIT SPA, related events and activities I, being at least 18 years of age, for myself, my heirs, assigns and legal representatives, or if applicable, for my minor child or ward, his or her heirs, assigns and legal representatives, agree to the following:

Assumption of Risk: I understand and acknowledge that I, or my minor child or ward, by participating in FIRE & ICE SPIRIT SPA and related events, may be engaging in dangerous activities and may expose me, or my minor child or ward, to a variety of foreseen and unforeseen hazards and risk. I acknowledge that these activities are a test of a person’s physical and mental limits, are strenuous and dangerous and require a certain degree of physical condition, ability, maturity, and skill and involve risk of serious injury, including permanent disability or death, social and economic losses, and property damage. I understand that these injuries might result not only from my own actions, inactions, or negligence, but also from the actions, inactions, or negligence of others, or the condition of the terrain, natural and manmade hazards and obstacles, facilities, equipment or vehicles. I choose to voluntarily participate (or allow my child to participate) despite all risks. I assume all inherent and other risks and accept responsibility for any property damage and loss, and for any personal injury, illness, disability, emotional distress, and death that I (or my child) may suffer whether described in this document or not.

I have been given the opportunity to ask questions of appropriate FIRE & ICE SPIRIT SPA representatives concerning such risks and hazards and acknowledge that any questions have been satisfactorily answered. I have received sufficient information and time to make an informed decision about my (or my minor child’s or ward’s) participation in the activities. I acknowledge that I am solely responsible for determining my (or my child’s) suitability to participate. I certify that I am physically fit, have sufficiently prepared for participation in the spa and have not been advised otherwise by a qualified medical person. I do have (or my child has) the requisite skills, qualifications, physical and mental ability, and training necessary to properly and safely participate.

Waiver and Release: I, (and on behalf of my minor child or ward) agree to forever release and discharge FIRE & ICE SPIRIT SPA and agree not to sue the organizers, landlords, church, hosts, members or volunteers for any and all liability or claims I, or my minor child or ward, might have against the organizers, landlords, church, hosts, members or volunteers and its board members, employees, agents and volunteers as a result of injury, permanent disability, death, social and economic losses, and property damage incurred related to my (or my minor child or ward’s) participation in the activities including any required training programs or use of any equipment or facilities. I understand that this release discharges organizers, landlords, church, hosts, members or volunteers of FIRE & ICE SPIRIT SPA from any liability or claim that I, or my minor child, may have against them with respect to any bodily injury, personal injury, illness, death, property damage, or property loss that my result from the activities, whether caused by the negligence of organizers,  landlords, church, hosts, members or volunteers of FIRE & ICE SPIRIT SPA or otherwise. This waiver and the release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under law.

Indemnity: I agree to defend, indemnify (meaning to pay or reimburse any amount required to be paid, including attorney’s fees) and hold the organizers, landlords, church, hosts, members or volunteers of FIRE & ICE SPIRIT SPA harmless from all liability from all claims, causes of action, injury, death, loss (including attorneys’ fees and costs) or damage to person or property, including rental or loaned equipment, personal injury, liability, losses, damages, judgments, or expenses, disability, death or other loss brought by or on behalf of me (or my minor child or ward), a family member, my estate, another participant or spectator, or any other person arising from or relating to my (or my minor child or ward) participating in the activities of FIRE & ICE SPIRIT SPA, including claims of negligence.

I further consent and authorize organizers, landlords, church, hosts, members or volunteers of FIRE & ICE SPIRIT SPA to obtain medical treatment on my behalf if I am injured or require medical attention during my participation in the event and which may be deemed advisable in the event of injury, accident and/or illness during the event. I understand and agree that I am solely responsible for all costs related to such medical treatment, medical transportation, and/or evacuation. I release, forever discharge, and hold harmless organizers, landlords, church, hosts, members or volunteers of FIRE & ICE SPIRIT SPA from any claim whatsoever in connection with such treatment and other medical services.

It is my intent to bind myself, my heirs, executor, administrators, legal representatives and assigns (or my minor child or ward and their heirs, executor, administrators, legal representatives and assigns). I agree that this Release represents the full understanding between the organizers, landlords, church, hosts, members or volunteers of FIRE & ICE SPIRIT SPA and supersedes all other prior agreements, understandings, representations, and warranties, both written and oral, between us, or my minor child or ward, with respect to the subject matter thereof. 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.

I agree that the substantive laws of Nature and Nature’s God (but not any law that would apply the laws of any state, government or region) govern this Agreement and any dispute I (or my child has) with the organizers, landlords, church, hosts, members or volunteers of FIRE & ICE SPIRIT SPA. Any portion of this Agreement deemed unlawful or unenforceable is severable and shall be stricken without effect on the enforceability of the remaining provisions.

I have read this Agreement, I understand its contents and agree to it voluntarily. I intend by this Agreement to assume all hazards and risks, waive all rights to sue and release all liabilities and claims, and indemnify the organizers, landlords, church, hosts, members or volunteers of FIRE & ICE SPIRIT SPA for any claims arising from my (or my minor child or ward’s) participation in the activities. I understand that this Agreement has no expiration date and remains in effect at all times that I am (or my minor child or ward is) observing or participating in the activities and will be binding on me, my family members, heirs, assigns, executors, representatives, and estate.

I hereby certify that I have read this document and I understand its content. I have read, understand and agree to the terms and conditions of the Assumption of Risk, Release and Indemnity Agreement stated above.