PRISM Waiver Form
                                                     RELEASE AND INDEMNITY AGREEMENT
I, the undersigned, acknowledge that participation in PRISM events involves risk to me and may result in various types of injury, including but not limited to, sickness (which would include Covid-19), bodily injury, death, emotional injury, personal injury, property damage and financial loss. I acknowledge and accept the risks of injury associated with participation in and transportation to and from the PRISM event. I accept personal financial responsibility for any injury or other loss sustained during the PRISM event or during transportation to or from the PRISM event, as well as for any medical treatment rendered to me that is authorized by PRISM or its agents, employees, volunteers or any other of its representatives. Further, I release and promise to indemnify, defend and hold harmless PRISM for any injury arising directly or indirectly out of the PRISM event or transportation to or from the PRISM event, whether such injury arises out of the negligence of PRISM or otherwise. If a dispute over this agreement or any claim for damages arises, I agree to resolve the matter through a mutually acceptable alternative dispute resolution process. If PRISM and I cannot agree upon such a process, the dispute will be submitted to a three member arbitration panel for resolution pursuant to the rules of the American Arbitration Association. I have read this document and understand that by entering my name in the box below, I am effectively providing my signature.

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In consideration of the opportunity to participate in the PRISM event of: (Name of Event) *
Date of Event: *
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I have read this document and understand that by entering my name in the box below, I am effectively providing my signature. *
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