Commercial Challenge Course Consultants, LLC dba

Chiji Team Dynamics

RELEASE OF LIABILITY

WORKSHOP: _____________________________________________________________________

Date of Workshop: _______________________ Location: ________________________________

The Workshops and activities created and provided by Commercial Challenge Course Consultants, LLC dba Chiji Team Dynamics (hereinafter CCC),
are an opportunity to enhance your personal and professional effectiveness and create TEAM in your organization. The activities that you, the
Participant, will take part in are specifically designed to challenge you, sometimes both physically and mentally. The foundation of the work we
do is CHALLENGE BY CHOICE. If at any time, there is any task or activity that you are unable to or unwilling to participate in for any reason, please
let your trainer know immediately. However, we also want to encourage you to challenge yourself in order to create maximum value for yourself
and your group, leading to breakthroughs that you can use both in your personal and professional life. CCC and the Workshop Trainer/Facilitator
shall have the right to exclude any participant from the Workshop, in the sole discretion of CCC and/or the Workshop Trainer/Facilitator.
Reference to CCC in this Release and Agreement includes Daniel E. Miller, the owners and/or operators of CCC and/or the owners and operators
of the premises where the Workshop or activity is conducted, and/or their directors, officers, employees, volunteers, representatives, trainers,
and agents, the activity or event holders, activity or event sponsors, activity or event volunteers.

ASSUMPTION OF RISK: PARTICIPANT HEREBY ASSUMES ALL RISKS OF PARTICIPATING IN THIS WORKSHOP, ACTIVITIES OR EVENTS. PARTICIPANT is
fully aware that participation may contain risks of physical and psychological injury and nevertheless voluntarily and freely chooses to incur and
assume any and all such risks and dangers. PARTICIPANT hereby authorizes CCC and any staff at the Workshop or event to take any reasonable
steps on PARTICIPANT’S behalf in the case of an accident, injury or illness, including but not limited to emergency first aid. PARTICIPANT agrees
to be solely liable for the cost of any such action taken on his/her behalf and hereby, release CCC, its trainers, and staff from any and all liability.

HEALTH DISCLOSURE BY PARTICIPANT: PARTICIPANT acknowledges that if pregnant or under the care of a doctor, PARTICIPANT she should consult
with a physician before participating in CCC workshops or activities. By signing this form, PARTICIPANT certifies that he/she is physically fit and
has not been advised not to participate by a qualified medical professional. PARTICIPANT certifies that there are no health-related reasons or
problems which preclude participation in this activity or event. PARTICIPANT further acknowledges that there may be some physical activities
which PARTICIPANT may be fit to participate in and others that PARTICIPANT may not be fit to participate in and that PARTICIPANT assumes full
and sole responsibility for determining whether or not to participate in any activity.

DISCLAIMER OF LIABILITY: PARTICIPANT WAIVES, RELEASES, AND DISCHARGES from any and all liability, claims, demands, actions and causes of
action whatsoever, both in law and equity, including but not limited to, liability arising from the negligence of any kind, carelessness or fault of
the entities or persons released, and/or from dangerous or defective equipment or property owned, maintained, or controlled by them, for
PARTICIPANT’S death, disability, personal injury (whether physical or emotional), property damage, property theft, or actions of any kind which
may hereafter occur to me including traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: COMMERCIAL CHALLENGE
COURSE CONSULTANTS, LLC dba Chiji Team Dynamics (CCC), Daniel E. Miller, the owners and/or operators of CCC and/or the owners and
operators of the premises where the Workshop or activity is conducted, and/or their directors, officers, employees, volunteers, representatives,
trainers, and agents, the activity or event holders, activity or event sponsors, activity or event volunteers.

INDEMNITY AGREEMENT: PARTICIPANT agrees to indemnify and hold harmless CCC and its programs’ trainers, staff and other participants from
any and all losses, claims, actions or proceedings of any kind which may be based on participation in the workshop or related/associated activities
and which may be initiated by PARTICIPANT and/or any other person or organization on PARTICIPANT’S behalf, or by any other person or third
parties (including other participants in the workshop) on their own behalf. This includes reimbursement of all legal fees and costs incurred by CCC
or any other indemnified parties for the defense of any such actions, which may arise directly or indirectly from participation in the training.

WAIVER OF PUNITIVE DAMAGES: PARTICIPANT understands and agrees that PARTICIPANT is waiving and forever abandoning any claims for puni-
tive or exemplary damages against CCC, its owners, trainers and staff.

LIMITATION OF LIABILITY: CCC shall not be liable for any indirect, special or consequential damages or lost earning. The remedies set forth in this
agreement are exclusive and the liability of CCC, whether in contract, on tort, under any warranty, or otherwise shall not in any event exceed the
price paid for services on which such liability is based.

INSURANCE DISCLAIMER: PARTICIPANT understands CCC does not provide any insurance, either medical or liability, for any incident occurring as a
result of my participation in the trainings or its associated activities, and PARTICIPANT must furnish his/her own insurance if same is desired.

SEVERABILITY: In the event that any court, administrative agency, arbitrator or other tribunal invalidates any provision of this Agreement, the re -
maining provisions shall continue in full force and effect and the Agreement shall be construed in all respects as if the invalid or stricken provision
were omitted.

CHOICE OF LAW and VENUE: I understand this Agreement shall be construed and governed by the laws of the State of Florida, and that Venue for
any proceedings in connection with this Agreement shall lie in the County of Palm Beach, Florida and that this Choice of Law and Venue provision
cannot be modified unless in writing and signed by both parties.

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ENTIRE AGREEMENT: This Agreement contains the entire agreement of the parties with respect to the subject matter set forth herein and that
this Agreement supersedes any prior understandings or agreements between them, and that there are no representations, warranties, or oral
agreements other than those expressly set forth herein.

WAIVER OF JURY TRIAL AND ARBITRATION: In the event a dispute shall arise between the parties to this Contract, the parties waive the right to a
trial by jury and agree that the parties shall first attend mediation prior to filing any type of legal proceeding. In the event of unsuccessful media-
tion, the dispute shall then be referred to binding arbitration in Palm Beach County, Florida for arbitration in accordance with the applicable
United States Arbitration and Mediation Rules of Arbitration. The arbitrator's decision shall be final and legally binding and judgment may be en -
tered thereon. Each party shall be responsible for its share of the arbitration fees in accordance with the applicable Rules of Arbitration. In the
event a party fails to proceed with mediation and/or arbitration, or unsuccessfully challenges the arbitrator's award, or fails to comply with the
arbitrator's award, the other party is entitled to costs of suit, including a reasonable attorney's fee for having to compel mediation, arbitration or
defend or enforce the award. PARTICIPANT shall not sue any of the persons or entities referenced in this Contract for any reason, in any court, in
any place. PARTICIPANT shall be solely responsible for any and all legal fees and expense associated with any breach of this agreement, arbitra -
tion or litigation that may ensue as a result of said breach, including but not limited to the legal fees and costs and related expenses of the other
party.

I hereby expressly recognize that this RELEASE is an agreement and contract and I have released any and all claims against the indemnified par -
ties resulting from my participation in the trainings, workshops or any of its associated or related activities, including and claims caused by the
negligence of any kind of the indemnified parties. This waiver and release of liability shall be construed broadly to provide a release and waiver to
the maximum extent permissible under applicable law.

I understand that at this event or related activities, I may be photographed or videotaped. I agree to allow my photo, video, or film likeness to be
used for any legitimate purpose by the event holders, producers, sponsors, organizers, and assigns and forever release the right to any
compensation of any kind.

In consideration for my participation, permission and acceptance in the Workshop and activities, I hereby execute this release for myself, my
executors, administrators, heirs, next of kin, successors, and/or assigns.

I HAVE CAREFULLY READ THIS AGREEMENT AND I UNDERSTAND ITS CONTENTS. I CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER, AND SIGN THIS
AGREEMENT AND RELEASE OF LIABILTY OF MY OWN FREE WILL.

________________________________ _______ _ ______________________________ ___________

Print Participant’s Name Age Signature Date

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