I am the ward or guardian of above, (“the child”). I am responsible for the child and have authority to sign this release on behalf of the child. Variety the Children’s Charity of St. Louis (“Variety the Children’s Charity of St. Louis”), is sponsoring this event.

Either the child by him or herself, I by myself, or the child and I together wish to participate in the event. There is no charge to us for our participation.

I understand that unless I sign this release, including all its terms, on behalf of the child and me, the Variety the Children’s Charity of St. Louis will not allow the child or me to participate in the event.

In order to participate in the event, on behalf of the child and myself, I therefore release the officers, directors, agents, affiliates, sponsors, volunteers, successors, assigns and employees of Variety the Children’s Charity of St. Louis from all liability for injuries or damages resulting from activities connected with the event, to the extent those injuries or damages are result of negligent acts.

I further agree to hold the released parties harmless and to indemnify them against any claims brought against them by third parties due to my actions and/or the child’s actions.

On behalf of the child and myself, I thus hereby release the released parties from all claims for damages or injuries for negligent acts connected with the event. I exclude from the release grossly negligent acts, intentional acts, and acts done with malfeasance.

I understand this release is quite broad, but I nevertheless accept its terms.