2027 Kiwanis Polar Dip

I hereby voluntarily agree to participate in the 1st Annual Kiwanis Polar Dip (the “Activity”) to be held on February 6, 2027. I hereby assume all risk and agree to accept full responsibility and liability for any damages or bodily injuries I may cause, sustain or suffer arising out of participation in the Activity, including any such damages or bodily injuries occurring during, resulting from or related to any
travel to and from the Activity.

I hereby agree to be fully liable for and I hereby agree to waive and release on behalf of myself and my heirs, successors and assigns, the Reston Association, its Board of Directors, officers, employees, agents, volunteers, members and anyone operating by or through the Reston Association from any and all injuries, bodily injuries, costs, damages, causes of action, claims, attorney’s fees and any consequential, special, punitive, statutory and incidental damages arising out of or resulting from any injury, death or damage to property which I may sustain, suffer or cause as a result of my participation in the above reference Activity, including any such injuries, costs, damages, causes of action, claims, attorney’s fees and any consequential, special, punitive, statutory and incidental damages occurring during, resulting from, or related to any travel to and from the Activity.

I further agree to indemnify, reimburse and forever hold harmless the Reston Association, the Reston Association, its Board of Directors, officers, employees, agents, volunteers, members and anyone operating by or through the Reston Association from any and all injuries, bodily injuries, costs, damages, causes of action, claims, attorney’s fees and any consequential, special, punitive, statutory and incidental damages arising out of or resulting from any injury, death or damage to property which I may sustain, suffer or cause as a result of my participation in the above reference Activity, including any such injuries,
costs, damages, causes of action, claims, attorney’s fees and any consequential, special, punitive, statutory and incidental damages occurring during, resulting from, or related to any travel to and from the Activity.

I am aware that participating in the Activity is purely voluntary and inherently dangerous. I hereby certify, warrant and agree that I am aware of the risks associated with participation in the Activity and hereby accept and assume full responsibility for any and all such risks including, without limitation, the need to check with a physician before engaging in this Activity, including any physical activity associated with this Activity. I understand that participation in this Activity may involve activities where injury can occur and shall be undertaken at my sole risk and expense. I hereby certify that I am physically fit and have not been otherwise informed by a physician. I understand that the Reston Association does not employ physicians and its staff cannot diagnose medical problems.