WAIVER

I, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, voluntarily assume all risks of accidents or injuries and release and forever discharge the City of Barberton, the Barberton Parks and Recreation Commission, the Barberton Beautification Committee, its employees, officers and agents, from any and all liability for personal injury or property damage of any kind sustained at Lake Anna during the Barberton Mum Fest whether such personal injury or property damage is caused by the negligence of the Barberton Beautification Committee or its employees, officers or agents or otherwise.

I further covenant and agree to indemnify and hold harmless the City of Barberton, the Barberton Parks and Recreation Commission, the Barberton Beautification Committee, its employees, officers and agents from all loss and expense, including, but not limited to, damages, legal expenses and cost of defense, in any manner arising from my use of Lake Anna Park.

Participant Name: _____________________________________________________
                                                                (Typed or Printed)

Participant Signature: ___________________________________________________

           Date: __                                                                                                              ______

THIS FORM MUST BE SIGNED AND RETURNED WITH YOUR APPLICATION