In order to participate in the Children's Healthcare of Atlanta Foundation, Inc. ("Children's") [EVENT_NAME] (the "Event"), the undersigned acknowledges and agrees as follows:

1. I fully understand the nature of, and have an appreciation of, the risks involved with my participation in the Event and have agreed to participate at my own risk. Risks may include, but are not limited to, bodily injury (up to and including death), illness (including exposure to and infection from contagious diseases, such as COVID-19), and loss or damage to personal property. I hereby release and hold harmless Children's, its affiliates, parents, subsidiaries, employees, officers, directors, agents and assigns from any and all liability, actions, causes of action, suits, claims or demands for any personal injury, property damages, loss or expense incurred, by me or my heirs related to my participation in the Event.

2. I agree to indemnify Children's, its affiliates, parents, subsidiaries, employees, officers, directors, agents and assigns against any and all manners of actions, causes of actions, claims, demands, damages, liability and expense of any kind and nature incurred or arising from any actual or alleged wrongful act or omission, negligent or intentional, due to my participation in the Event.

3. I agree to abide by all rules applicable to Children's as well as any rules associated specifically with the Event.

4. I give Children's the right to take and use photographs, audio or audio-visual recordings of me to be used in promotional material including public media, radio, television, internet or print, or in Children's publication and educational or fundraising materials including, but not limited to videotapes, pamphlets and brochures. I understand my name may be used in connection with these materials. I acknowledge that Children's shall have all rights of copyright in and to such photographs and videotapes and may use such copyright fully. I also hereby release Children's and its officers, agents and employees from all liability connected with the taking and use of these materials as is authorized by Children's.