RELEASE AND HOLD HARMLESS ADENDUM

Resident hereby releases Room to Heal and Room to Heal’s owners, officers, employees, contractors, and advisors (collectively, including Room to Heal, the “Indemnified Parties”) from, and will indemnify and hold harmless the Indemnified Parties for, any injury (including death) or loss to Resident, Resident’s guests, or Resident’s or Resident’s guests’ personal property/belongings. Resident acknowledges and agrees that Resident is responsible for any injury or accident caused by Resident, Resident’s guests, or Resident’s family, and will forever indemnify and hold the Indemnified Parties harmless for, from, and against any and all claims, losses, expenses (including reasonable attorney’s fees and costs of litigation), and damages caused by or attributable to the acts of Resident, Resident’s guests, or Resident’s family.

Resident is fully and adequately informed of the nature of the programs in which Resident wishes to participate, and hereby assumes full responsibility for the risk of injuries, whether due to the negligence of the Indemnified Parties or otherwise. Resident agrees to never institute suit or action against the Indemnified Parties for damages, cost, expenses, or loss of services resulting from injuries or harm. Resident releases the Indemnified Parties from any claim whatsoever on account of first aid, treatment, or service rendered to Resident as a result of injuries. Resident shall be solely liable and responsible for any medical cost related to injuries. If Resident is a minor or in any way incapacitated, this Release and Hold Harmless Addendum shall be acknowledged by a parent or legal guardian of Resident, and shall be binding upon such parent or legal guardian as well as upon Resident. Resident’s parent or legal guardian, by the execution hereof, waives all claims in his or her individual or derivative capacity, as well as claims on behalf of Resident. The person acknowledging this Release and Hold Harmless Addendum certifies that he or she is empowered to act on his or her own behalf or on behalf of Resident.

Resident expressly agrees that this Release and Hold Harmless Agreement shall be as broad and inclusive as permitted by the laws of the State of North Carolina, and that if any portion hereof is held invalid, it is agreed that the balance shall; notwithstanding, continue in full legal force and effect.

Acknowledged and agreed:

Client first nameClient last name

Signature:

 Signature

Date: Date