INDIVIDUAL LIABILITY & RELEASE WAIVER

Please read this document thoroughly before signing.

By signing electronically, you acknowledge that you have fully understood and agree to the terms and conditions outlined in the linked document above. This Liability Agreement and Waiver Form is intended to inform you of your responsibilities and to limit the liability of Upstate Power House, LLC in relation to your participation in the activities outlined in the provided waiver.

I acknowledge that any personal information collected in connection with this agreement will be securely stored in Upstate Power House, LLC’s Google Drive. All settings will be configured to ensure that the information remains private and accessible only to authorized personnel.

By electronically signing this Agreement, I confirm that I have read, understood, and voluntarily agree to the terms and conditions set forth. I acknowledge that this waiver is a binding legal document, and that I have had the opportunity to ask questions or seek legal advice before signing.

In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent or guardian.

Participant Name

First Name

Last Name

Participant Parent/Guardian

Required if participant is under the age of consent (18 years of age)

First Name

Last Name

Date

YYYY

Electronic Signature

By typing your full name below, you are electronically signing this Liability Agreement and Waiver Form. This action confirms that you have read, understood, and voluntarily agree to the terms and conditions set forth in this document. Your signature is legally binding. Please ensure you have reviewed the entire document before signing.