BY SIGNING THIS DOCUMENT YOU WILL WAIVE LEGAL RIGHTS INCLUDING THE RIGHT TO SUE
SIXTY-ONE ACRES, INC.
I, the undersigned, wish to participate in the hikes and outdoor activities (the “Retreat”), being
organized by Sixty-One Acres, Inc., a non-profit corporation organized under the laws of the
State of Florida (“Hosting Company”).
I wish to participate in the Retreat, and hereby assume all risks of engaging in the Retreat. I
understand there is an element of risk inherent in any form of outdoor activity, and I realize
there is a chance of an accident occurring, which may result in bodily injury, death, or property
damage. By voluntarily participating in the activities being offered, I accept and assume all risk
while I am participating in activities conducted.
I also hereby hold harmless and release Hosting Company, its members, managers, employees
and agents (collectively, “Indemnitees”) and indemnify each of them from and against any and
all loss, claim, cause of action, lawsuit, damage, liability, cost or expense whatsoever which
any of them may incur arising out of or in connection with my participation in the Retreat.
I hereby certify that I am at least 18 years of age. I agree that neither I nor any member of my
family will sue any Indemnitee because of my participation in the Retreat at any time, and I
understand that this Release shall be binding upon my estate, my heirs, next of kin, executors,
administrators, representatives, successors and assigns. I specifically waive any claim or right
to assert any cause of action or alleged case of action or claim or demand.
I expressly agree that this waiver, release, and assumption of risk is intended to be as broad
and inclusive as permitted by applicable law. If any portion of this agreement is held invalid, it
is agreed that the balance shall continue in full legal force and effect.
This waiver, release and assumption of risk shall be governed by and construed in accordance
with the laws of Florida. I further agree that any action, suit or proceeding arising out of or
relating to my participation in activities offered by must be brought in a State court in Polk County, Florida within one (1) year of the event(s) giving rise to the action, suit or proceeding.
In such an action, the prevailing party is entitled to recover reasonable legal fees and expenses.
I state that I am over the age of 18 and have read this Release and understand its contents and
sign this Release willingly as my own free act.