I, the undersigned, intending to be legally bound hereby, for myself, my heirs, executors, administrators, and assigns, waive and release any and all rights and claims for damages I may have against Estanislao Chapter 58, E Clampus Vitus, Grand Council, and their or its officers, directors, trustees, subcommittees, agents, representatives, and members of the meeting for any and all losses and injuries suffered by me at this meeting.

I understand and agree that medical or other services rendered to me by or at the instance of any of the above parties is not an admission of liability to provide or continue to provide any such services and is not a waiver by any said parties of any right hereunder.