Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

DESCRIPTION AND LOCATION OF SCHEDULED EVENTS DATE RELEASE SIGNED

IN CONSIDERATION of being permitted to participate in any way in the event set forth above (the “Event”), EACH OF THE UNDERSIGNED, for himself, his personal representatives, executors, heirs, administrators, next of kin and legal representatives:

1. ACKNOWLEDGES, AGREES, AND REPRESENTS that he or she (a) is at least eighteen years of age, (b) is not under the influence of alcohol, or drugs, or any other substance that could impair the undersigned’s judgment, vision, or motor skills, (c) does not have any medical condition that impairs the undersigned’s judgment, vision, or motor skills, and (d) will at all times follow the instructions and directions of the instructor during the Event. Each of the undersigned also acknowledges that accidents can occur while participating in the Event that may result in serious injury or even death, and represent that they are voluntarily participating in the Event with knowledge of the dangers involved, and agree to accept any and all risks of injury or death. 2. HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE Charlotte Aerial Solutions, LLC, its pricipals, members, managers, officers, agents, employees, successors and assigns, other attendeees at the Event and each of them, all for the purposes herein referred to as “Releasees”, FROM ANY AND ALL LIABILITY TO THE UNDERSIGNED, his or her personal representatives, assigns, heirs, and next of kin, FOR ANY AND ALL LOSS, DAMAGE, CLAIMS, DEMANDS, CAUSES OF ACTION, WHETHER THE SAME BE KNOWN, ANTICIPATED OR UNANTICIPATED, OF EVERY KIND, NATURE AND DESCRIPTION, WHETHER PRESENT OR FUTURE, ON ACCOUNT OF INJURY TO THE PERSON OR PROPERTY OF THE UNDERSIGNED OR RESULTING IN DEATH OF THE UNDERSIGNED arising out of or related to the Event or the use or intended use of the facilities, equipment, or class materials provided by Charlotte Aerial Solutions, LLC. 3. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and each of them FROM ANY AND ALL LOSS, LIABILITY, DAMAGE, OR COST the undersigned may incur arising out of or related to the undersigned’s participation in the Event or the use or intended use of the facilities, equipment, or materials provided by Charlotte Aerial Solutions, LLC. 4. HEREBY AGREES that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement may be pleaded in bar to any action brought by the undersigned, or his or her personal representatives, executors, heirs, administrators, next of kin and legal representatives, arising out of or related to the Event or class materials provided by Charlotte Aerial Solutions, LLC. 5. HEREBY ACKNOWLEDGES THE RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE arising out of or related to the Event or the use or intended use of the class materials, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES OR OTHERWISE. 6. HEREBY ACKNOWLEDGES that the ACTIVITIES OF THE EVENT, INCLUDING THE OPERATION OF sUAS (also known as small unmanned aircraft systems or “drones”), ARE INHERENTLY DANGEROUS and involve the RISK OF SERIOUS INJURY AND/OR DEATH AND/OR PROPERTY DAMAGE. 7. HEREBY AGREES that this Release and Waiver of Liability and Assumption of Risk and EXTENDS TO ALL ACTS OF NEGLIGENCE BY THE RELEASEES, INCLUDING, but not limited to, NEGLIGENT RESCUE OPERATIONS and is intended to be as broad and inclusive as is permitted by the laws of the State of North Carolina in which the Event is conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

ALL AREAS MUST BE COMPLETED

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