I am the parent or legal guardian of the child named below and I give permission for my child to participate in all activities of Oregon Empire Water Polo Academy (“EMPIRE”). My child and I understand and acknowledge that participation in water polo can result in physical injury and even death. With full understanding of these potential risks, we assume the risks of participating in EMPIRE.

Therefore, my child and I each (i) release EMPIRE and its employees, volunteers, and agents (each an “EMPIRE Party”) from any and all claims, liabilities, obligations, costs and expenses arising from personal injury, death or damages of any kind, except those which result from gross negligence or willful misconduct of any EMPIRE Party; (ii) agree not to sue any EMPIRE Party for any of the claims, liabilities, obligations, costs or expenses that we have released; and (iii) agree to indemnify and hold harmless each EMPIRE Party from any claims made or liabilities assessed against him, her or it because of my actions or actions of my child.

I execute this Release for and on behalf of myself and my child. I hereby bind myself and my child and the guardians, personal representatives, heirs, successors and assigns of each of us to the terms of this Release. I represent that I have legal capacity and authority to act for and on behalf of my child. I agree to indemnify and hold harmless each EMPIRE Party from any claims, liabilities, obligations, costs or expenses assessed against him, her or it as a result of any insufficiency of my legal capacity to act for and on the behalf of my child in the execution of this Release.

I HAVE READ AND UNDERSTAND THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT (“RELEASE”). I UNDERSTAND THAT THE RELEASE APPLIES TO ALL ACTIVITIES AND EVENTS INVOLVING EMPIRE AND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT. I HAVE SIGNED THE RELEASE FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF EMPIRE, TO THE GREATEST EXTEND ALLOWED BY LAW.