I have enrolled in the health and fitness program offered by
Courtroom Hoops. I recognize that the program may involve strenuous physical activity including, but not limited
to, muscle strength and endurance training, cardiovascular conditioning and training, and other various
fitness activities. I hereby affirm that I am in good physical condition and do not suffer from any known
disability or condition which would prevent or otherwise limit my full participation in this physical
program.

In addition, I am fully aware of the risks and hazards connected with participation in the physical
program including, but not limited to, physical injury or even death. I hereby elect to voluntarily
participate in this program knowing that the associated physical activity may be hazardous to me and/or
my property.

I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OR LOSS, PROPERTY
DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, THAT MAY BE SUSTAINED BY ME, OR LOSS OR
DAMAGE TO PROPERTY OWNED BY ME, AS A RESULT OF PARTICIPATION IN THIS PROGRAM.

I hereby release, waive, discharge, and covenant not to sue Courtroom Hoops and/or any of its officers, servants,
agents, consultants, volunteers, and/or employees from any and all liability, claims, demands, actions,
and causes of action whatsoever arising out of or related to any loss, damage, or injury (including, but not
limited to, death) that may be sustained by me, or to any property belonging to me while participating in
this program, or while on or upon the premises where the event is being conducted including, but not
limited to, any claims arising under negligence.

It is my expressed intent that this waiver and release shall bind any and all members of my family including,
but not limited to, my spouse, if I am alive, and my heirs, assigns, and personal representatives, if I am
deceased. It is also my expressed intent that this waiver and release shall also be deemed a full release,
waiver, discharge, and covenant not to sue insofar as my aforementioned family members, heirs, assigns,
and personal representatives are concerned. I hereby further agree that this waiver and release shall be
constructed in accordance with the laws of the State of Mississippi.

In signing this waiver and release, I acknowledge and represent that I have read and understood the
foregoing and hereby sign it voluntarily as my own free act and deed; no oral representations, statements
or inducements, apart from the foregoing written agreements have been made; and I hereby execute this
waiver and release for valuable consideration, intending to be bound by the same.