Name and Likeness Release
    As a condition of my being permitted to compete in the Gravity Sports International LLC
Gravity Races, (the “Event”). I hereby grant any media, production companies, or distributors
permission to utilize my appearance, name, voice and likeness in connection with the Event,
publicity for the Event and future editions of the Event and in connection with the promotion
of the Event in any and all manner and media throughout the world in perpetuity. I hereby
waive any right that I may have to inspect or approve any finished product or any advertising
copy that may be used in connection therewith or the use to which it is applied. I hereby
warrant that I have the right to make this release and that my granting this release and the
rights conveyed thereby will not infringe the rights of any third party. I hereby assign all right,
title, and interest I may have in any and all media in which any or all of my appearance, name,
voice or likeness have been captured in connection with the above to distributors, along with
full rights of assignability.

Physical Condition
    I am physically fit to participate in the event(s) in which I have chosen to participate,
and have not been advised otherwise by a medical practitioner.

Equipment and Facilities Inspection
    I agree that before I participate in any event, I will inspect the related facilities and
equipment. I will immediately advise the supervisor of the event of any unsafe condition that I
observe. I will refuse to participate in the event until all unsafe conditions observed by me have
been remedied.

Assumption of Risk
    I understand that I, and each participant in the Event will be engaging in activities that
involve the risk of serious injury, illness, permanent disability, dismemberment and death, and that
also involve the risk of severe economic and property loss and damage. I understand that these
risks may result from the actions, negligence and failure to act of myself and others (including
but not limited to other participants in, and the sponsors, organizers and volunteers of the Event)
and from the rules of play, the challenges of the event and the condition of any property,
facilities or equipment used. I also understand that there may be risks involved which are not
known to me or the sponsors, organizers, and volunteers, and may not be foreseen or reasonably
foreseeable by any of us at this time or at the time of the activities in which I may participate.

    I assume all of the foregoing risks including the risk of any negligence by other
participants or by the Town, County, the organizers, sponsors, or volunteers of
the Event and their respective owners, directors, officers, employees, or agents, and the risk of
injury caused by the condition of any property, facilities, or equipment used during the Event
and accept personal responsibility for any injury (including, but not limited to personal injury,
disability, dismemberment and death), illness, damage, loss, claim, liability, or expense, of any
kind or nature, that I or my property may suffer arising out of or in connection with the Event or
my participation therein or my attendance thereat.

Liability Release and Indemnity Agreement
    I hereby release and forever discharge and agree to save and hold harmless the Event,
the organizers and promoters of the event, the Vermont State Park system
and their subsidiaries and volunteers associated or affiliated with the GSI Hill
gravity races, the owners, lessors and lessees of the property, facilities and equipment used in
connection with the Event, the respective organizers, directors, officers, employees, and agents
of all of them, and the other participants in the Event (each such entity or individual being
referred to as a “Released Party”) of and from any and all injuries (including, but not limited to
personal injury, disability, dismemberment and death), illness, damage, loss, claim, liability, or
expense, of any kind or nature (and whether accruing to me, my heirs or my personal
representatives) that are caused or alleged to be caused in whole or in part by the action,
negligence, failure to act or condition of the property, facilities or equipment of any Released
Party and that arise out of or in connection with the Event or my participation therein or my
attendance thereat.

Medical Treatment
    In connection with any injury that I may sustain or other medical conditions I may
experience during my participation in or attendance at the Event, I authorize any emergency
first aid, medication, medical treatment or surgery deemed necessary by the attending medical
personnel if I am not able to act on my own behalf. I further authorize the attending medical
personnel to execute on my behalf any permission forms, consents, or other appropriate
documents relating to medical attention and to act on my behalf if I am not able or
immediately available to do so.

Severability of Provisions
    I agree that the foregoing agreements are intended to be as broad and inclusive as is
permitted by law. Any provisions herein found by a court to be void and unenforceable shall
not affect the validity or enforceability of any other provisions.