CONSENT AND RELEASE FORM In consideration for the opportunity to participate at a USA Wrestling Sanctioned and/or Official Championship Event (the “Event”), the undersigned and his/her parent or guardian, if applicable (“Participant”) hereby acknowledges that the “Event,” and related activities and performances, may be televised live and/or videotaped for broadcast, cable cast, home video entertainment and/or any other use or distribution (collectively, “Dissemination”) in a manner not inconsistent with applicable rules or The United States of America Wrestling Association, Inc., d/b/a USA Wrestling, Inc. (“USAW”) and/or United World Wrestling (“UWW”) and hereby consents that USAW, for purposes of US- AW’s athletics/sports programs and related events and activities, and any television network, production company or any other par- ties with which USAW has agreements for such purposes, and/ or their licensees, shall have the right, without any compensation to participant, to use Participant’s name, photograph, image, like- ness, biography and accomplishments and displays of wrestling ability in any Dissemination of the Event and for the purpose of advertising, promoting and publicizing the events and activities of USAW and the program and/or any program series of which any Dissemination of the Event is a part (provided that none of the above shall be used in such fashion so as to constitute an endorsement of any commercial product). Participant agrees, for and on behalf of Participant and Participant’s heirs, personal representatives, administrators, agents, successors and assigns, to release, indemnify and hold harmless USAW and its officers,directors, agents, employees and licensees from any claim of any nature based upon or arising out of any Dissemination or other permitted uses contemplated by this Consent and Release *